1. Childhood lead poisoning risks and new initiatives for blood lead screenings Eric Frohmberg and Susan J. Lee Maine Environmental and Occupational Health Program

2. Maine DHHS Public Health Environmental and Occupational Health Program

3. Eliminating childhood lead poisoning

4. Maine DHHS Public Health Environmental and Occupational Health Program Focused efforts

5. Maine DHHS Public Health Environmental and Occupational Health Program MaineCare status as a risk factor

6. Maine DHHS Public Health Environmental and Occupational Health Program Trend of Cases of African Descent Lewiston Not AfricanAfrican

7. Maine DHHS Public Health Environmental and Occupational Health Program High Blood Lead Levels often Chewers or Pickers

8. Maine DHHS Public Health Environmental and Occupational Health Program Children are poisoned by dust from lead paint

9. Maine DHHS Public Health Environmental and Occupational Health Program Children are poisoned by dust from lead paint

10. Maine DHHS Public Health Environmental and Occupational Health Program

11. Rental vs. Homeowner

12. Maine DHHS Public Health Environmental and Occupational Health Program Renovations causing poisonings

13. Maine DHHS Public Health Environmental and Occupational Health Program Next frequent category of exposures Soil Take Home Dust

14. Maine DHHS Public Health Environmental and Occupational Health Program

17. Upcoming New Risk Groups Oral behavior New Mainers

18. Maine DHHS Public Health Environmental and Occupational Health Program Feedback How are you currently screening? Why are MC screening rates not 100%? Proposed changes via Medicaid Drop requirement for MaineCare universal screening?

19. Maine DHHS Public Health Environmental and Occupational Health Program Barriers to screenings and solutions Knowledge of screening? Loss from office to lab?

20. Maine DHHS Public Health Environmental and Occupational Health Program In office blood lead screening law Critical parts are data transfer and addressing barrier of losing patients Rulemaking: AG review; public comment, review and approval.

21. Maine DHHS Public Health Environmental and Occupational Health Program Rules Use of portable testing device is a capillary screen. Confirmatory venous still needs to go to the state lab. Must use IMMPACT to be approved Results to us w/in 48 hours Provide work flow and CLIA Waiver Certificate

22. Maine DHHS Public Health Environmental and Occupational Health Program In office portable testing devices: Plus Immediate results Removes barrier of testing at other location Families may be more motivated to get follow up venous PCP follow up easier

23. Maine DHHS Public Health Environmental and Occupational Health Program In office portable testing devices: Minus Staff time cost: Testing, recording, reporting Cost of machine – HETL will not provide supplies Reimbursement Rates

24. Maine DHHS Public Health Environmental and Occupational Health Program IMMPACT Lead Module Reporting Data and blood lead histories to users Data fields: Sample date Venous or Cap Results Name, Address when tested Ordering Phys Flag for follow up visits if needed

25. Maine DHHS Public Health Environmental and Occupational Health Program Questions? Thoughts? Comments? Eric Frohmberg Eric.frohmberg@maine.gov 287-8141 Susan Lee Susan.j.lee@maine.gov 287-8671 www.maine.gov/healthyhomes tracking.publichealth.maine.gov