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Lead Poisoning
Selected Materials from the National Center for Education in Maternal and Child Health Reference Collection

January 1997

The following materials for professionals and consumers cover various aspects of lead poisoning including prevention, screening and historic aspects of lead poisoning prevention. Items may be obtained from the sources cited. Contact information was current at the time the item was added to the NCEMCH reference collection.

Alliance to End Childhood Lead Poisoning.
Building a lead-safe future: Second comprehensive national conference-Final report.
Washington, DC: Alliance to End Childhood Lead Poisoning, 1994. 162 pp.

Contact: Alliance to End Childhood Lead Poisoning
600 Pennsylvania Avenue, S.E., Suite 100, Washington, DC 20003.
Telephone: (202) 543-1147
Fax (202) 543-4466. Price unknown.


Alliance to End Childhood Lead Poisoning.
Childhood lead poisoning prevention: A resource directory. (2nd ed.).
Washington, DC: National Center for Education in Maternal and Child Health, 1991. 90 pp.

Contact: Librarian, National Center for Education in Maternal and Child Health
2000 15th Street North, Suite 701, Arlington, VA 22201-2617.
Telephone: (703) 524-7802
Fax (703) 524-2098
Email ncemch01@gumedlib.dml.georgetown.edu.
Available for loan; similar publication available from National Conference of State Legislatures. NMCHC inv. code E053.

This directory, originally published in 1989, has been updated and revised by the Alliance to End Childhood Lead Poisoning in response to the need for information about the current activities of state and local government agencies in childhood lead poisoning prevention. The contact person is provided for each state or local program listed. The directory also gives a brief description of services offered by each program and a list of educational materials that are currently used in community education efforts.


Alliance to End Childhood Lead Poisoning.
Directory of state and local lead poisoning prevention advocates.
Washington, DC: Alliance to End
Childhood Lead Poisoning, 1995. 122 pp.

Contact: Alliance to End Childhood Lead Poisoning
227 Massachusetts Avenue, N.E., Suite 200, Washington, DC 20002.
Telephone: (202) 543-1147
Fax (202) 543-4466
Email aeclp@permanet.org.
$16.00 plus $2.00 shipping and handling; prepayment required.

This directory lists non-governmental groups at the state and local levels that advocate the prevention of lead poisoning. A preface explains the purpose of the directory; each entry provides contact information, indicates the group's areas of expertise, provides their mission statement, and notes affiliations, the size of the membership, and geographic focus. Entries are arranged by state, and indexes list the contacts' names and the organizations included; a list of national and regional resources is also provided.


Alliance to End Childhood Lead Poisoning.
Information packet.
Washington, DC: Alliance to End Childhood Lead Poisoning, 1991. 11 items.

Contact: Heidi M. Klein, M.S.
Public Health Educator
Alliance to End Childhood Lead Poisoning
600 Pennsylvania Avenue, S.E., Suite 100
Washington, DC 20003.
Telephone: (202) 543-1147
Fax (202) 543-4466.
Available at no charge.

This packet of materials contains articles, brochures, and other information about lead poisoning and the Alliance.


Alliance to End Childhood Lead Poisoning.
Preventing childhood lead poisoning: The first comprehensive national conference.
Washington, DC:Alliance to End Childhood Lead Poisoning, 1991. 114 pp.

Contact: Alliance to End Childhood Lead Poisoning
600 Pennsylvania Avenue, S.E., Suite 100, Washington, DC 20003.
Telephone: (202) 543-1147
Fax (202) 543-4466.
$10.00 plus $2.00 shipping and handling.

This proceedings presents a summary of the First Comprehensive National Conference on Preventing Childhood Lead Poisoning convened by the Alliance to End Childhood Lead Poisoning in Washington, DC, October 6-8, 1991. It includes an overview of the issue, a summary of the organization of the conference, and a list of conference sponsors. Appendices include the text of Secretary of Health and Human Services Louis Sullivan's keynote address; a summary of federal legislation on lead poisoning prevention; draft lead hazard reduction principles; workshop highlights; discussion group highlights and recommendations; success story abstracts; poster session abstracts; the conference resolution on California legislation; and a list of conference attendees. Audiotapes from the conference are also available.


Binder, S., and Falk, H.
Strategic plan for the elimination of childhood lead poisoning.
Atlanta, GA: Centers for Disease Control, U.S. Department
of Health and Human Services, 1991. 98 pp.

Contact: Centers for Disease Control
National Center for Environmental Health, Publications Activities
Mail Stop F-29, 4770 Buford Highway, N.E.
Atlanta, GA 30341-3724.
Available at no charge.

This 98-page report, developed for the Risk Management Subcommittee, Committee to Coordinate Environmental Health and Related Programs, U.S. Department of Health and Human Services, presents a plan to eliminate childhood lead poisoning as a public health problem. Chapters address the health effects of lead and lead exposure; benefits of preventing lead exposure of children and fetuses; the program agenda, which includes increased prevention activities, increased abatement of lead-based paint in high-risk housing, reduced exposure to other sources of environmental lead, and national surveillance; the research agenda; and funds needed for implementation of the strategic plan. A summary of the recommendations is included in the last chapter, and the appendices contain additional information on chapter topics, a history of childhood lead poisoning prevention programs, and organizations and agencies that could help promote awareness of childhood lead poisoning.


Bridgen, P. and Janney, A.M.
Evaluative report of lead poisoning prevention programs and recommendations of effective techniques.
Washington, DC: ICF Incorporated, 1985. 50 pp.

Contact: ICF Incorporated
9300 Lee Highway
Fairfax, VA 22031-1207.
Telephone: (703) 934-3000.


Bridgen, P., Hochman, M. and Janney, A.M.
Case studies of lead poisoning prevention programs: A report of nine site visits.
Washington, DC: ICF Incorporated, 1984. 154 pp.

Contact: ICF Incorporated
9300 Lee Highway, Fairfax, VA 22031-1207.
Telephone: (703) 934-3000.


Bridgen, P., Kirk, J., and Janney, A.M.
An investigation of alternative approaches for lead poisoning prevention programs:
A summary report.
Fairfax, VA: ICF Incorporated, 1985. 33 pp.

Contact: ICF Incorporated
9300 Lee Highway, Fairfax, VA 22031-1207
Telephone: (703) 934-3000.


Bridgen, P., Mendez, W., and Mohammed, A.
Lead poisoning prevention programs: Recent literature and controversies.
Washington, DC: ICF Incorporated, 1984. 53 pp.

Contact: ICF Incorporated
9300 Lee Highway, Fairfax, VA 22031-1207.
Telephone: (703) 934-3000.


Carolinas Medical Center, Carolinas Poison Center.
To a child everything in your home looks good enough to eat.
Charlotte, NC: Carolinas Poison Center, Carolinas Medical Center, n.d. 10 pp.

Contact: Carolinas Poison Center
Carolinas Medical Center
P.O. Box 32861, Charlotte, NC 28232.
Telephone: (704) 355-4054.
Available at no charge.

This pamphlet describes poison hazards to children in different areas of the home, and suggests ways of eliminating or reducing these hazards. The pamphlet also contains fact sheets on syrup of Ipecac, used to induce vomiting in accidental poisonings; animal and snake bites; insect stings and bites; poisonous plants; and lead poisoning.


Carp, D., Krick, J., and Webster, C.
Eating for good health: A nutrition handbook for caretakers of the handicapped child.
Baltimore, MD: John F. Kennedy Institute for Handicapped Children
The Nutrition Division, n.d. 18 pp.

Contact: Jackie Krick, Nutrition Division
John F. Kennedy Institute for Handicapped Children
707 North Broadway, Room 20, Baltimore, MD 21205. Telephone: (410) 522-5441.
1-9 copies: $5.50 each ($4.00 + $1.50 handling);
10 or more: $3.00 (includes shipping and handling).

This packet provides information that ties together the relationship of nutrition factors and clinical strategies to disabilities. Topics are covered by both a scientific based description for professionals and a nutrition education fact sheet for families and parents, and include: feeding, dental health, fluids, diet and underweight, diet and weight control, dietary fiber and constipation, lead poisoning, megavitamin therapy, nutritional effects of drug therapy, and hyperactivity.


Chadzynski, L.
Manual for the identification and abatement of environmental lead hazards.
No place: No publisher, 1986. 73 pp.

Contact: National Maternal and Child Health Clearinghouse
2070 Chain Bridge Road
Suite 450, Vienna, VA 22182-2536.
Telephone: (703) 821-8955
Fax (703) 821-2098.
Available at no charge. NMCHC inv.code B240.

This manual is prepared for use primarily in childhood lead poisoning prevention programs and by other public health personnel charged with the investigation of the environment of children identified with elevated blood lead levels. Topics covered include hazardous environmental lead sources, lead content analysis, environmental investigation, environmental lead hazard abatement, and public education. Appendices give sample forms, public education brochures, legislation and other materials for use in administrating an abatement program.


Channing L. Bete Company.
Lead: Is your child at risk?
South Deerfield, MI: Channing L. Bete Company, 1992. 7 pp. (EveryReader series)

Contact: Channing L. Bete Company,
200 State Road, South Deerfield, MA 01373.
Telephone: (800) 628-7733 / (413) 665-7611
Fax (800)499-6464.

This booklet gives facts on lead poisoning. It discusses how children can ingest lead, where it can be found in households, how it affects the body, and how to prevent children from getting lead poisoning.


Cherry, F.F. (ed).
Childhood lead poisoning prevention and control.
New Orleans, LA: Maternal and Child Health Section, Office of Health Services and Environmental Quality, Department of Health and Human Resources, 1981. 148 pp.

Contact: MCH Section, Office of Health Services and Environmental Quality,
Department of Health and Human Resources,
New Orleans, LA.

This report describes the workshops of the Childhood Lead Toxicity conference held in New Orleans June 1-3, 1981. It covers the lead poisoning problem and service needs, steps in developing a childhood lead poisoning prevention program, prevention programs in St. Louis and South Carolina, and the need for a new approach.


Chisolm, J. J., and O'Hara, D. M.
Lead absorption in children: Management, clinical, and environmental aspects.
Baltimore, MD: Urban and Schwarzenberg, 1982. 229 pp.

Contact: Urban and Schwarzenberg,
7 East Redwood Street, Baltimore, MD 21202.

This monograph discusses the toxicologic, pharmacologic, nutritional, behavioral, familial, social, and environmental factors influencing lead absorption and describes approaches to the coordinated management of each of these factors. Brief case presentations are used to illustrate the various factors which play a role in the clinical and environmental management of this condition. It is based on work supported by the Office of Maternal and Child Health, U. S. Department of Health and Human Services.


Dowd, T. and Dowd, S.
Lead paint: The silent poisoning of America's children.
Salem, MA: Lead Paint Publications, 1990. 65 pp.

Contact: Lead Paint Publications,
27 Pickman Street, Salem, MA 01970.
Telephone: (508) 744-9321.
$3.95 plus $1.50 postage and handling.

This 65-page book is written by a lead paint inspector in Massachusetts to provide information on lead paint and its potential hazards and to offer suggestions on how to maintain a safe environment when lead paint is found in the home. Included is information about a new Massachusetts state law requiring deleading to be done by licensed contractors, requiring landlords to have their properties certified as free from dangerous levels of lead paint before renting to families with children under the age of six and requiring notification of potential lead hazards to potential purchasers of property.


Education Commission of the States.
Every child a learner: Reducing risks of learning impairment during pregnancy and infancy.
Denver, CO: Education Commission of the States, 1990. 32 pp.

Contact: Education Commission of the States,
707 17th Street, Suite 2700,
Denver, CO 80202.
Telephone: (303) 299-3600.
Summary available at no charge,
full report $5.00, plus $1.90 postage and handling.

This report synthesizes findings of major research studies on development of learning impairment in children from birth to age 5. It discusses seven preventable major factors associated with learning impairment: low birthweight, maternal smoking, prenatal alcohol exposure, fetal drug exposure, lead poisoning, child abuse and neglect, and malnutrition. Suggestions to avoid these problems are included.


Finberg, L. (Ed.).
Chemical and radiation hazards to children.
Columbus, OH: Ross Laboratories, 1982. 130 pp. (Ross Conference on Pediatric Research; 84)

Contact: Ross Laboratories,
625 Cleveland Avenue, Columbus, OH 43216.
Telephone: (614) 227-3333 / (800) 227-5767.
Price unknown.

This report contains 23 papers from the Ross conference on chemical and radiation hazards to children. This conference focused on hazards to the fetus and child such as: lead, mercury, radiation, toxic wastes, and pesticides. They stressed the need for better public education, and the role of the pediatric community.


Florini, K. L., Krumbhaar, G. D., and Silbergeld, E. K.
Legacy of lead: America's continuing epidemic of childhood lead poisoning.
Washington, DC: Environmental Defense Fund, 1990. 62 pp.

Contact: Karen L. Florini,
Senior Attorney,
Environmental Defense Fund,
1616 P Street, N.W.,
Washington, DC 20036.
Telephone: (202) 387-3500.
$8.00.

This 62-page report discusses the problem of low-level lead poisoning, which currently exists at epidemic proportion among children in the United States and is associated with significant neurological impairment. It describes aspects of the problem, including the toxicity of lead, evaluation of exposures, sources and pathways of lead exposure, numbers of individuals affected, treatment and prevention options, and past government action and inaction. The report proposes establishing a trust fund to abate the causes of this problem that would be financed by an excise fee on the production and importation of lead.


Illinois Department of Public Health, Office of Community Health, Division of Family Health, Childhood Lead Poisoning Prevention Program.
Guidelines for the detection and management of lead poisoning for physicians and health care providers.
Springfield, IL: Childhood Lead Poisoning Prevention Program, Illinois Department of Public Health, 1992. 35 pp.

Contact: Stephen Saunders,
Childhood Lead Poisoning Prevention Program,
Illinois Department of Public Health,
535 West Jefferson Street, Room 500,
Springfield, IL 62761.
Telephone: (217) 782-2736.
Available at no charge.

This report discusses the effects of lead on children and fetuses, sources of lead, screening, diagnostic evaluation, medical management and treatment, future trends, treatment and follow-up, role of the Department of Public Health, and community intervention. Appendices include specimen collection, sample questionnaire to determine risk, EDTA mobilization test, advice to parents, and a bibliography. It is accompanied by a chart showing the choice of medical management based on symptoms and blood level concentration.


Indiana State Board of Health, Indiana Lead Poisoning Prevention and Screening Program.
Annual report. Indianapolis, IN: Indiana State Board of Health, 1989-. annual.

Contact: Naomi Johnson, R.D.
L.E.A.D. Coordinator, Division of Maternal and Child Health
Indiana State Board of Health
1330 West Michigan Street,
P.O. Box 1964, Indianapolis, IN 46206-1964.
Telephone: (317) 633-0809.
Available at no charge.

This 43-page annual report documents the statistical findings from a pilot program on lead poisoning prevention and screening initiated by the Indiana State Board of Health. The report provides an overview of the screening activities, diagnostic evaluation, and environmental investigation procedures which form the basis of the Indiana Lead Poisoning Prevention and Screening Program.


Johnson, N. (Chairperson).
Childhood lead poisoning: Current perspectives: Proceedings of the national conference.
Rockville, MD: Bureau of Maternal and Child Health and Resource Development,
U.S. Department of Health and Human Services, 1988. 1 curriculum (136 pp.),
1 student workbook (44 pp.).

Contact: National Maternal and Child Health Clearinghouse
2070 Chain Bridge Road
Suite 450, Vienna, VA 22182-2536.
Telephone: (703) 821-8955
Fax (703) 821-2098.
Available at no charge. NMCHC inv.code B323.


Kentucky Cabinet for Human Resources, Department for Health Services, Division of Maternal and Child Health, and Louisville-Jefferson County Department of Public Health.
Proceedings of the Maternal and Child Health Directors Childhood Lead Poisoning Conference.
Louisville, KY:
Division of Maternal and Child Health, Commonwealth of Kentucky, and Louisville-Jefferson County Department of Public Health, 1985. 38 pp.

This report includes speaker presentations and summaries of workshop discussions and recommendations from this conference held February 19-21, 1985 in Louisville, Kentucky. Topics include recent trends and activities, the effect of the redefinition of lead poisoning on the states, assessments of need, laboratory issues, and medical management.


King, M. P. Maternal and child health legislation. Denver, CO:
National Conference of State Legislatures, 1991-. annual.

Contact: National Conference of State Legislatures
1560 Broadway, Suite 700
Denver, CO 80202
Telephone: (303) 830-2200
Fax (303) 863-8003.
$15.00 plus $3.00 shipping and handling.

This annual compilation summarizes laws and resolutions pertinent to maternal and child health issues passed by the 50 states, the District of Columbia, and Puerto Rico. Topics include: access, accidents/safety, adolescent health, coordination, emergency medical services, financing, health education, immunization, injury prevention, insurance, lead poisoning, Medicaid, minority health, newborn screening, nutrition, oral health, prenatal care/infant mortality, prevention, providers, school health, special health care needs/diseases/chronic conditions, substance abuse (maternal and infants), treatment/services, and women's health. Appendices list the states' bill numbers, and provide a glossary and list of acronyms. Since 1992, the authorship has varied from year to year.


Kough, M. B. W.
Special report: State health agency lead poisoning prevention activities, 1983.
Washington, DC: Public Health Foundation, 1986.
40 pp.

Contact: Public Health Foundation
1220 L Street, N.W.
Suite 350, Washington, DC 20005
Telephone: (202) 898-5600
Price unknown.

This report summarizes the problem of lead poisoning and reports state health agency activities involving screening, diagnostic evaluation, confirmed lead toxicity, environmental investigation and high-risk populations.


Levin, R.
Reducing lead in drinking water: A benefit analysis.
Washington, DC: U.S. Environmental Protection Agency, 1986. 34 pp.

Contact: U.S. Environmental Protection Agency, Office of Planning and Evaluation, EPA-230-09-86-019, Washington, DC 20460.


Lin-Fu, J. S.
Historical perspective on health effects of lead. In Mahaffey, K. R. (Ed.). Dietary and environmental lead: Human health effects
(pp. 43-63). New York, NY: Elsevier-Science Publishers, 1985. 459 pp.

Contact: National Maternal and Child Health Clearinghouse
2070 Chain Bridge Road
Suite 450, Vienna, VA 22182-2536
Telephone: (703) 821-8955
Fax (703) 821-2098
Available at no charge
NMCHC inv.code B183.

This chapter presents a historical perspective on the concern over the health effects of exposure to lead in the environment, from ancient times to the 20th century.


Lin-Fu, J. S.
Modern history of lead poisoning: A century of discovery and rediscovery. In: Needleman, H. L. (Ed.) Human lead exposure
(pp. 23-43). Boca Raton, FL: CRC Press, 1992.

Contact: Librarian, National Center for Education in Maternal and Child Health
2000 15th Street North
Suite 701
Arlington, VA 22201-2617.
Telephone: (703) 524-7802
Fax (703) 524-9335
Email ncemch01@gumedlib.dml.georgetown.edu.
Available for loan. NMCHC inv.code H025.

This chapter from Human Lead Exposure discusses sources of lead that have been identified as causes for lead poisoning in the past and present, including paint, toiletries, burning battery casings, contaminated food and drinks, gasoline, dust and soil, and folk remedies. It also discusses the epidemiology of lead poisoning in children and prevention of lead poisoning.


Mahaffey, K. R. (Ed.).
Dietary and environmental lead: Human health effects.
New York, NY: Elsevier, 1985. 459 pp.
(Topics in environmental health; 7)

Contact: Elsevier Science Publishing
52 Vanderbilt Avenue
New York, NY 10017
Price unknown.

This book concentrates on the human health effects of lead on three organ systems: hematologic, renal, and neural. A historical perspective on reduction of lead contamination in the human environment and the associated health effects provides an overview on how public health intervention is possible.


Maryland Department of Health and Mental Hygiene, Women, Infants, and Children Agency.
Partnerships in health: Conference proceedings-WIC/Medicaid/Maternal and Child Health State Director's Conference, Mid-Atlantic Region.
Annapolis, MD: Women, Infants, and Children Agency, Maryland Department of Health and Mental Hygiene, 1991. 63 pp.

Contact: Joan
Women, Infants, and Children Agency, Maryland Department of Health and Mental Hygiene
201 West Preston Street
Baltimore, MD 21201
Available at no charge.

These are the proceedings of a meeting of state Maternal and Child Health, WIC, and Medicaid Directors from the Mid-Atlantic region held July 15-17, 1991 in Rockville, Maryland. The conference focused on integrating and coordinating health services for pregnant and postpartum women and young children within the state programs; it encouraged developing and implementing state action plans. The proceedings include the texts of the major sessions, panels, and workshops which examined the national context; the value of coordinating state efforts' reviews of coordinated state programs that work; improving access; and coordination efforts related to immunizations, nutritional services, lead poisoning, and substance abuse. The proceedings also include an introduction to the theory of implementation.


Massachusetts Department of Public Health.
Teachers' educational resources guide.
Boston, MA: Massachusetts Department of Public Health, 1989. 21 pp.

Contact: Bureau of Parent, Child, and Adolescent Health
Massachusetts Department of Public Health
150 Tremont Street
Boston, MA 02111
Price unknown.

This resource directory provides a brief description of each program within the Massachusetts Department of Public Health including injury prevention programs, lead poisoning, adolescent health, genetics program, substance abuse, nutrition, etc., along with each program's available educational resources for professional and public use (e.g. brochures, audio-visuals, etc.).


McLaine, P.
Lead-based paint hazards and the Comprehensive Housing Affordability Strategy (CHAS).
Columbia, MD: National Center for Lead-Safe Housing, ca. 1993. 58 pp. (Technical assistance bulletin; no. 1)

Contact: National Center for Lead-Safe Housing
205 American City Building
Columbia, MD 21044
Telephone: (410) 992-0712
Price unknown.

This technical bulletin is intended to help state and local governments to integrate lead safety issues into the Comprehensive Housing Affordability Strategy (CHAS). Seven specific strategies are recommended for inclusion in CHAS plans, and general recommendations are given on how to reduce childhood lead poisoning and how to integrate lead poisoning prevention efforts into low- and moderate-income housing programs.


Minnesota Institute of Public Health.
Lessons in lead.
Anoka, MN: Minnesota Institute of Public Health, 1994. 3 kits.

Contact: Lessons in Lead
2829 Verndale Avenue
Anoka, MN 55303
Telephone: (612) 427-5310
Fax (612) 427-7841
$21.95 each, or all 3 for $59.00, plus 15 percent shipping and handling.

These three kits provide lesson plans and reproducible handouts for students, parents, and community education, on the subject of preventing childhood lead poisoning. The kits are aimed at preschool-kindergarten, elementary-middle school, and high school ages.

Mushak, P., and Crocetti, A. F.
The nature and extent of lead poisoning in children.
Atlanta, GA: Agency for Toxic Substances and Disease Registry, U.S. Department of Health and Human Services, 1988. ca. 300 pp.

Contact: Agency for Toxic Substances and Disease Registry
Centers for Disease Control
U.S. Department of Health and Human Services
Atlanta, GA 30333.

This report comprises three parts: part 1) consisting of the executive summary; part 2) consisting of chapter 1 - Report Findings, Conclusions, and Overview, which provides a detailed overview of information and conclusions abstracted from the main body of the report; and part 3) which consists of chapters 2 through 11, constituting the main body of the report. The following chapters are included: Introduction and Discussion of Terms and Issues; Lead Metabolism and Its Relationship to Lead Exposure and Adverse Effects of Lead; Adverse Health Effects of Lead: Relationship to Public Health Risk and Societal Well-Being; Examination of Numbers of Lead-Exposed Children by Areas of the United States; Examination of Numbers of Lead-Exposed U.S. Children by Lead Source; Examination of Numbers of Lead-Exposed Women of Childbearing Age and Pregnant Women; The Issue of Low-Level Lead Sources and Aggregate Lead Exposure of U.S. Children; Methods and Alternatives for Reducing Environmental Lead Exposure for Young Children and Related Risk Groups; A Review of Environmental Releases of Lead as Evaluated Under Superfund; and Lead Exposure and Toxicity in Children and Other Related Groups in the United States: Information Gaps, Research Needs, and Report Recommendations.


National Center for Education in Maternal and Child Health.
Compendium of sources cited in nutrition and childhood lead poisoning prevention: A quick reference guide for health providers.
Arlington, VA: National Center for Education in Maternal and Child Health,1994. ca. 250 pp.

Contact: Librarian, National Center for Education in Maternal and Child Health
2000 15th Street North
Suite 701
Arlington, VA 22201
Telephone: (703) 524-7802
Fax (703) 524-9335
Email ncemch01@gumedlib.dml.georgetown.edu.
Available for loan.

The journal articles in this collection are listed in the bibliography that accompanies the fact sheet, "Nutrition and childhood lead poisoning prevention: A quick reference guide for health providers".


National Center for Education in Maternal and Child Health.
Nutrition and childhood lead poisoning prevention: A quick reference guide for health providers.
Arlington, VA: National Center for Education in Maternal and Child Health, 1994. 2 pp.

Contact: National Maternal and Child Health Clearinghouse
2070 Chain Bridge Road
Suite 450, Vienna, VA 22182-2536
Telephone: (703) 821-8955
Fax (703) 821-2098
Available at no charge
NMCHC inv.code H036.

This fact sheet discusses how nutrition is related to the prevention of childhood lead poisoning, and nutritional recommendations health providers should make to the parents of young children. It is accompanied by a 2-page bibliography on nutrition and lead. [Funded by the Maternal and Child Health Bureau]

National Lead Training and Resource Center.
Lead screening program procedure manual.
Louisville, KY: National Lead Training and Resource Center,
1994. 217 pp., 1 flyer (6 pp.), 1 brochure (2 pp.).

Contact: National Lead Training and Resource Center
400 East Gray Street, Louisville
KY 40202
Telephone: (502) 574-8226
Fax (502) 574-5734.
Price unknown.

The manual describes the Center and its activities which include health education, screening, medical management, environmental epidemiology, record management, evaluation methods, pediatric medical management, Title X, nutrition, and legal issues. Each section states the objectives, the planned methodology, and the guidelines to be used. A flyer and a brochure are also included; the flyer describes a Childhood Lead Poisoning Prevention and Management Workshop, and the brochure presents lead poisoning facts for parents. [Funded by the Maternal and Child Health Bureau]


Needleman, H. L.
The poisoning of America's children: Lead exposure, children's brains, and the ability to learn.
Washington, DC: National Health/Education Consortium, 1992. 21 pp. (National Health/Education Consortium occasional paper; no. 6)

Contact: Chris Shearer
National Health/Education Consortium
Institute for Educational Leadership
1001 Connecticut Avenue, N.W.
Suite 310, Washington, DC 20036
Telephone: (202) 822-8405
Fax (202) 872-4050
$5.00.

This paper presents research on the short- and long-term effects of low-level lead exposure on children's intellectual ability and social adjustment. The report includes the recent progress in the toxicology of lead (understanding what it does), its epidemiology (where it is), and then examines what is needed to eliminate the problem permanently.


New England Consortium of Childhood Lead Poisoning Programs, Laboratory Task Force.
New England public health lead testing laboratories: Collaborative cost analysis and comparative management data.
Providence, RI: New England Consortium of Childhood Lead Poisoning Programs, 1988. 166 pp.

Contact: New England Consortium of Childhood Lead Poisoning Programs
Rhode Island Department of Health
75 Davis Street, Room 302
Providence, RI 02908
Telephone: (401) 277-2312
Price unknown.

This report includes a compilation of projects completed by the Laboratory Task Force and recommendations which if implemented would minimize or alleviate mutual concerns identified by the Task Force related to improving public health services in the prevention of lead poisoning. The projects analyzed the costs of performing tests and the impact of CDC's 1985 guidelines on laboratory services in Massachusetts. [Funded by the Maternal and Child Health Bureau]


New England Consortium of Childhood Lead Poisoning Programs.
Papers contributed from the conference entitled Leading Us Away from Lead Poisoning: Whose Responsibility?
Providence, RI: New England Consortium of Childhood Lead Poisoning Programs, n.d. 197 pp.

Contact: New England Consortium of Childhood Lead Poisoning Programs
Rhode Island Department of Health
75 Davis Street
Room 302, Providence, RI 02908
Telephone: (401) 277-2312
Price unknown.

The papers in this conference proceedings addressed the issues of the shifting responsibilities shared among environmental, housing and health agencies; legislative strategies; needs assessments and evaluation methodologies; and clinical management strategies. [Funded by the Maternal and Child Health Bureau]


New York City Department of Health, Bureau of Lead Poisoning Control
Guidelines for the detection and management of lead poisoning
New York, NY: Bureau of Lead Poisoning and Control, New York City Department of Health, 1988. 20 pp.

Contact: Bureau of Lead Poisoning Control
New York City Department of Health
65 Worth Street, New York, NY 10001
Telephone: (212) 334-7709.
Available at no charge.

These guidelines are issued to help health professionals detect and manage cases of lead poisoning. They follow and implement the recommendations of the Centers for Disease Control and the American Academy of Pediatrics. A list of hospitals in the New York City area offering lead treatment is included.


New York State Department of Health
Amendment of Part 67 of Title 10 NYCRR: Lead poisoning prevention and control
Albany, NY: New York State Department of Health, 1993. ca. 50 pp.

Contact: Donald MacDonald
Bureau of Management Analysis
New York State Department of Health
Mayor Erastus Corning 2nd Tower Building, Room 2230, Albany, NY 12237.
Telephone: (518) 474-8734.
Price unknown.

This notice of proposed rulemaking amends Part 67 of Title 10 of the codes, rules and regulations of the State of New York. This specifies the roles of health care providers, childcare providers, preschools and nursery schools, and local health units in lead poisoning prevention and control.


Northern Kentucky District Health Department.
Lead handouts.
Newport, KY: Northern Kentucky District Health Department, n.d. 5 pp.

Contact: Ema Trimble, Chief Nutritionist
Northern Kentucky District Health Department
401 Park Avenue, Newport, KY 41071
Telephone: (606) 491-6611
Fax (606) 491-6616
Available at no charge.

This series of fact sheets for consumers discusses various aspects of lead poisoning prevention and treatment in children. Lead Poisoning in Children: A Community Problem explains the symptoms of lead poisoning, sources of lead, and what to do about lead poisoning. Lead Poisoning Diet discusses the importance of eating a diet adequate in iron and calcium and low in fat. Pica discusses the importance of high-iron and high-calcium snacks for children who have elevated blood lead levels or who practice pica.


Pine, B. R., with Paulson, J. A., and Solloway, M. R.
Environmental risks and child health supervision: Childhood lead poisoning.
Washington, DC: Center for Health Policy Research, George Washington University, 1992. 51 pp.

Contact: Natalie Mason
Center for Health Policy Research
George Washington University
2021 K Street, N.W.
Suite 800, Washington, DC 20052. Telephone: (202) 296-6922
Fax (202) 296-0025
Available at no charge.

This report reviews the literature on childhood lead poisoning and discusses various issues related to child health supervision. Included in the paper are a brief history of lead poisoning research, a review of the debate over causes and effects of childhood lead poisoning, a discussion of federal and state activities to prevent, manage and abate lead in the environment, and a discussion of the economic and policy implications of childhood lead poisoning. Selected legislation on environmental lead and child health (102nd Congress) is contained in an appendix.


Rifkin and Associates and Kennedy Institute for Handicapped Children.
Lead can poison your child's future.
Columbia, MD: Rifkin and Associates, n.d. 1 p.

Contact: Nicole P. Hagen
Rifkin and Associates
Symphony Woods Office Center
Suite 518, Columbia, MD 21044
Telephone: (301) 596-3855
Initial printing exhausted; contact the publisher for prices for reprints.

This brochure is written to encourage parents to have their children aged nine months to six years tested for lead at least once a year. It describes the sources of lead and suggests ways to prevent children's exposure to it.


Solloway, M. R., and Budetti, P. P. (Eds.).
Child health supervision: Analytical studies in the financing, delivery, and cost-effectiveness of preventive and health promotion services for infants, children, and adolescents.
Arlington, VA: National Center for Education in Maternal and Child Health; Springfield, VA: distributed by National Technical Information Service, 1995. 401 pp.

Contact: National Technical Information Service
5285 Port Royal Road
Springfield, VA 22161
Telephone: (703) 487-4650
Fax (703) 321-8547
Price not yet set. NMCHC inv.code H101.

This compendium of information examines health systems problems of child health supervision services in three major areas: access and financing; organization and delivery; and cost and effectiveness. Some specific topics include health insurance, Medicaid managed care, the Early and Periodic Screening, Diagnostic and Testing (EPSDT) program, preventive approaches to well-child care in populations, cross-national comparisons, lead poisoning, oral health, adolescent preventive mental health, and school health services.


Stevenson, M.
Lead poisoning: What it is and what you can do about it.
New Brunswick, NJ: Legal Services of New Jersey, 1991. 46 pp.

Contact: Susan K. Perger
Legal Services of New Jersey
78 New Street, New Brunswick, NJ 08901-2583
Telephone: (908) 246-0770
TDD: (908) 214-0828
Fax (908) 246-2148
$2.00.

This booklet is written to help low-income people in New Jersey learn about the hazards of lead poisoning and how to do something about it. Specific topics include what lead does to the body, how a person gets lead poisoning, precautions to take, workers and lead, testing for lead, removing lead paint hazards, consumers' rights when there is lead in the home and in HUD-assisted housing, and how to take action. Also included are a list of lead screening agencies and legal services programs in New Jersey. A Spanish language version is also available.


Tuten, J.
Lead: An environmental hazard to our children's health.
Columbia, SC: Office of External Affairs, South Carolina Department of Health and Environmental Control, 1993. 20 pp.

Contact: Jan Tuten
Office of External Affairs
South Carolina Department of Health and Environmental Control
2600 Bull Street, Columbia, SC 29201. Telephone: (803) 734-5038
Price unknown.

This pamphlet identifies South Carolina sources of lead and simple methods to reduce lead exposure, with particular reference to children. The publication also discusses blood lead and product testing, intervention for children with lead poisoning, how the S.C. Department of Health monitors for industrial sources of lead contamination, and ways to safely eliminate lead paint in homes.


U.S. Department of Health and Human Services, Office of the Secretary.
Healthy kids: Improving health care for infants and children.
Washington, DC: Office of the Secretary, U.S. Department of Health and Human Services, 1991. 14 items.

Contact: Communications Services Division, Public Affairs Office
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, DC 20201
Telephone: (202) 690-7047
Out of print; contact organization for further information.

This 14-piece public information kit describes the U.S. Department of Health and Human Services' programs designed to improve the health of infants and children. Information is included on the following topics: Head Start; school readiness; immunizations; adoption; infant mortality; child abuse and neglect; early health testing; tobacco; lead poisoning; injury prevention; disabled children; and, alcohol and other drug abuse. Contact persons and their phone numbers are also included.


U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control.
Preventing lead poisoning in young children.
Atlanta, GA: Centers for Disease Control, U.S. Department of Health and Human Services, 1991. 105 pp.

Contact: Lead Poisoning Prevention Branch
National Center for Environmental Health and Injury Control
Atlanta, GA 30333
Available at no charge.

This report presents recommendations from the Centers for Disease Control in the areas of sources and pathways of lead exposure, the role of the pediatric health-care provider, the role of state and local public agencies, screening, diagnostic evaluation and medical management of children with elevated blood lead levels, and management of lead hazards in the environment of the individual child and in the community. Appendices give a capillary sampling protocol and a summary of those parts of the lead statement that are most important for the pediatric health care provider.


U.S. General Accounting Office.
Federally funded health services: Information on seven programs serving low-income women and children.
Washington, DC: U.S. General Accounting Office, 1992. 32 pp.

Contact: U.S. General Accounting Office
P.O. Box 6015, Gaithersburg, MD 20884-6015
Telephone: (202) 512-6000
TDD: (301) 413-0006
Fax (301) 258-4066
First copy available at no charge; additional copies $2.00; prepayment required; make check or money order to Superintendent of Documents; bulk discounts available. GAO/HRD-92-73FS.

This report provides facts about seven federal programs that fund delivery of services to pregnant women and children: preventive health and health services block grant; maternal and child health block grant; early and periodic screening, diagnosis and treatment (EPSDT) portion of Medicaid; childhood immunization program; childhood lead poisoning prevention program; community health centers; and migrant health centers. Information provided includes federal and state responsibilities for administration, funding, target populations, program goals, numbers of people served, and services authorized. It also reports on requirements for inter-program coordination and whether such coordination takes place.


U.S. General Accounting Office.
Lead-based paint hazards: Abatement standards are needed to ensure availability of insurance.
Washington, DC: U.S. General Accounting Office, 1994. 20 pp.

Contact: U.S. General Accounting Office
P.O. Box 6015, Gaithersburg, MD 20884-6015
Telephone: (202) 512-6000
TDD: (301) 413-0006
Fax (301) 258-4066
First copy available at no charge; additional copies $2.00; prepayment required; make check or money order to Superintendent of Documents; bulk discounts available. GAO/RCED-94-231.

This report examines the difficulties experienced by property owners in obtaining insurance for lead paint hazards. Issues addressed by the report include the risks faced by property owners because of the limited availability of insurance for lead hazards, and the reasons why insurance companies are excluding this coverage. It also looks at contractors' experiences in obtaining liability insurance for their lead abatement activities. Finally, measures taken by the states and the federal government for increasing the availability of liability insurance lead paint hazards are examined. The roles of the U.S. Environmental Protection Agency and the U.S. Department of Housing and Urban Development are central to the report.


U.S. General Accounting Office.
Lead-based paint poisoning: Children in public housing are not adequately protected.
Washington, DC: U.S. General Accounting Office, 1993. 36 pp.

Contact: U.S. General Accounting Office
P.O. Box 6015
Gaithersburg, MD 20884-6015
Telephone: (202) 512-6000
TDD: (301) 413-0006
Fax (301) 258-4066
First copy available at no charge; additional copies $2.00; prepayment required; make check or money order to Superintendent of Documents; bulk discounts available. GAO/RCED-93-138.

In this report, the General Accounting Office reports on a review of whether six public housing authorities were complying with the requirements of a 1988 law aimed at abating lead-based paint hazards from public housing. The review found that the U.S. Department of Housing had not complied with the law and had not ensured that public housing authorities comply with HUD's testing, abatement, and notification requirements.


U.S. General Accounting Office.
Lead-based paint poisoning: Children in Section 8 tenant-based housing are not adequately protected.
Washington, DC: U.S. General Accounting Office, 1994. 24 pp.

Contact: U.S. General Accounting Office
P.O. Box 6015
Gaithersburg, MD 20884-6015
Telephone: (202) 512-6000
TDD: (301) 413-0006
Fax (301) 258-4066
First copy available at no charge; additional copies $2.00; prepayment required; make check or money order to Superintendent of Documents; bulk discounts available. GAO/RCED-94-137.

This report examines the effectiveness of the regulations issued by the U.S. Department of Housing and Urban Development (HUD) for identifying lead-based paint hazards to ensure the safety of Section 8 tenant-based housing. Families living in privately owned rental housing and who receive tenant-based housing assistance from HUD through Section 8 of the Housing Act of 1937 are at risk since much of this housing was constructed while lead paint was commonly used. The effectiveness of HUD's regulations for protecting children who live in Section 8 housing and already have elevated levels of lead in their blood is discussed. Background information and a detailed explanation of the study methodology are provided. The report, concluding that current federal regulations do not provide adequate protection for tenants in Section 8 public housing, recommends further studies and modifications to the HUD regulations.


U.S. General Accounting Office
Lead-based paint poisoning: Children not fully protected when federal agencies sell homes to public.
Washington, DC: U.S. General Accounting Office, 1993. 48 pp.

Contact: U.S. General Accounting Office
P.O. Box 6015, Gaithersburg, MD 20884-6015
Telephone: (202) 512-6000
TDD: (301) 413-0006
Fax (301) 258-4066
First copy available at no charge; additional copies $2.00; prepayment required; make check or money order to Superintendent of Documents; bulk discounts available. GAO/RCED-93-38.

In this report, the General Accounting Office examines whether federal agencies that sell homes to the public are complying with the provisions of the Lead-Based Paint Poisoning Prevention Act. Specifically, the report discusses whether current federal lead-based paint regulations are consistent with the act's requirements; how the agencies have mplemented these regulations; and how recent legislative changes affect the act's requirements. It also makes recommendations for better protection of purchasers of federally owned residential properties. The agencies discussed include the Department of Housing and Urban Development (HUD), the Department of Veterans Affairs (VA), and the Farmers Home Administration (FmHA) in the Department of Agriculture.


U.S. General Accounting Office
Toxic substances: Federal programs do not fully address some lead exposure issues
Washington, DC: U.S. General Accounting Office, 1992.

Contact: U.S. General Accounting Office
P.O. Box 6015
Gaithersburg, MD 20884-6015
Telephone: (202) 512-6000
TDD: (301) 413-0006
Fax (301) 258-4066
First copy available at no charge; additional copies $2.00; prepayment required; make check or money order to Superintendent of Documents; bulk discounts available. GAO/RCED-92-186.

This report provides information on (1) the principal ongoing federal activities to reduce lead exposure, (2) how these activities compare with the actions the Centers for Disease Control has identified as needed to eliminate childhood lead poisoning, and (3) work to date on state and local lead poisoning prevention programs.


U.S. General Accounting Office.
Toxic substances: Status of EPA's efforts to develop lead hazard standards
Washington, DC: U.S. General Accounting Office, 1994. 12 pp.

Contact: U.S. General Accounting Office
P.O. Box 6015
Gaithersburg, MD 20884-6015
Telephone: (202) 512-6000
TDD: (301) 413-0006
Fax (301) 258-4066
First copy available at no charge; additional copies $2.00; prepayment required; make check or money order to Superintendent of Documents; bulk discounts available. GAO/RCED-94-114.

This report reviews the Environmental Protection Agency's efforts to develop standards and guidelines for lead hazards and lists steps needed to issue the standards and guidelines.


U.S. General Accounting Office
Toxic substances: The extent of lead hazards in child care facilities and schools is unknown
Washington, DC: U.S. General Accounting Office, 1993. 21 pp.

Contact: U.S. General Accounting Office
P.O. Box 6015
Gaithersburg, MD 20884
Telephone: (202) 512-6000
TDD: (301) 413-0006
Fax (301) 258-4066
First copy available at no charge; additional copies $2.00; prepayment required; make check or money order to Superintendent of Documents; bulk discounts available. GAO/RCED-93-197.

This investigation of lead in American child care facilities and schools was requested by the Subcommittee on Health and the Environment, Committee on Energy and Commerce, House of Representatives. There were two purposes of the survey: 1) inspect federal, state, and local programs and activities which address lead hazards in child care facilities and schools, and 2) access existing information on the extent and treatment of lead hazards in these facilities and schools. Three federal agencies that are primarily responsible for addressing lead hazards were examined. These agencies are the Centers for Disease Control and Prevention (CDC); the Environmental Protection Agency (EPA); and the Department of Housing and Urban Development (HUD). Child care licensing agencies, education agencies, and school districts in several states were also reviewed.


WRS Group.
Lead -- Its effects and hazards: Lead poisoning folding display
Waco, TX: WRS Group, 1992. 1 p.

Contact: WRS, Group
P.O. Box 21207
Waco, TX 76702-1207
Telephone: (800) 299-3366
(817) 776-6461.

This lead poisoning folding display enables health educators to display the hazards of lead poisoning. Unfolded the display measures 58" x 22". It is designed for health education classes, health fairs, and similar uses. The display provides brief information on sources of lead poisoning, signs of lead poisoning, long term damage from lead poisoning, and how to prevent lead poisoning.

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Early Head Start National Resource Center @ ZERO TO THREE
2000 M. Street, NW, Suite 200
Washington, DC 20036
202-638-1144 Fax 202-638-0851

This Web site was developed for the Head Start Bureau by ZERO TO THREE: National Center for Infants, Toddlers, and Families, under contract No. 105-98-2055 from the Administration on Children, Youth and Families; Administration for Children and Families; U. S. Department of Health and Human Services, to operate the Early Head Start National Resource Center.