Guidelines for the Identification and Management of Lead Exposure

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Figure 1-1. Distribution of Blood Lead Levels in U.S. Women of Childbearing Age (15-49 Years)NHANES 2003-2006NHANES 1999-2002NHANES III 1991-1994NHANES III 1988-1991NHANES II 1976-19800 5 10 15 20 25 30 35 40 45 50 Blood lead level (μg/dL)3
Page 1 and 2: GUIDELINES FOR THE IDENTIFICATION A
Page 3 and 4: This document is dedicated to the m
Page 5 and 6: XIV Template for Letter to Construc
Page 8 and 9: EXECUTIVE SUMMARYDespite improvemen
Page 10 and 11: pregnant women with BLL
Page 12 and 13: MEMBERS OF THE WORK GROUP ON LEAD A
Page 14 and 15: MEMBERS OF THE ADVISORY COMMITTEE O
Page 16 and 17: Sally OdlePresident and Owner, Safe
Page 18 and 19: GLOSSARYabatement: any set of measu
Page 20 and 21: cumulative: increasing by successiv
Page 22 and 23: lead-safe work practices: low-techn
Page 24: enovation: construction and/or home
Page 27: Finally, there is evidence that a s
Page 31 and 32: focus on maternal exposures, patern
Page 33 and 34: 0.70-mm Hg increase in third-trimes
Page 35 and 36: IMPACT OF LEAD EXPOSURE ON INFANT G
Page 37 and 38: international population-based long
Page 39 and 40: EstimateStudy Study of Prenatal Lea
Page 41: EstimateStudy Study of Prenatal Lea
Page 53 and 54: assessment of blood lead levels, pa
Page 55 and 56: the problem of either further conta
Page 57 and 58: Harville et al. 2005; Rothenberg et
Page 60 and 61: CHAPTER 4.DISTRIBUTION OF BLLS, R
Page 62 and 63: RISK FACTORS FOR LEAD EXPOSURE IN U
Page 64 and 65: PicaAlthough formal pica definition
Page 66 and 67: covery industries pose the highest
Page 68 and 69: Case Study 4-2. Lead Poisoning Asso
Page 70 and 71: Feldman 1978; Fischbein et al. 1981
Page 72 and 73: Hobbies and Recreational Activities
Page 74: Table 4-2. Key Recommendation
Page 77 and 78: The strategy described in this chap
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associated with elevated blood lead
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BLLs should be in the mother’s ch
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Table 5-1. Follow-up of Initial Blo
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Table 5-3. Frequency of Maternal Bl
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Figure 5-2. Minnesota Department of
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This report recommends follow-up ac
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order to keep exposure as low as po
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pecially if used to store acidic li
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(e.g., venison, wild fowl) harveste
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Box 6-1: Medical Management of Preg
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Table 6-1. Recommended Actions by B
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CHAPTER 7.NUTRITION AND LEAD
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lower blood lead levels than those
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intakes for calcium are 1,300 mg fo
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Dietary iron supplementation and le
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treatment groups (placebo N = 25, V
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assessment tools, and other backgro
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The introduction of chelating agent
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and experience with these drugs in
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Table 8-2. Published Experience wit
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Authors/Location/ Blood Lead Drug U
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for Healthcare Research and Quality
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Although levels of lead in breast m
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Follow-up testing of women with BLL
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Table 9-2. Estimated Daily Intake o
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106
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• Characterize whether and how th
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ehavior modification strategies for
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mental Health Specialty Units (PEHS
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Pediatric Environmental Health Spec
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LIST OF REFERENCES BY CHAPTERCHAPTE
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Bellinger D, Leviton A, Waternaux C
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Ingelfinger JR, Schnaper HW. 2005.
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Sanin LH, Gonzalez-Cossio T, Romieu
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Carbonne R, Laforgia N, Crollo E, M
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Marcus AH. 1985. Multicompartment k
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CHAPTER 4 - RISK FACTORS AND SOURCE
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Graziano JH, Popovac D, Factor-Litv
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Nchito M, Geissler PW, Mubila L, Fr
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CHAPTER 5 - BLOOD LEAD TESTING IN P
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Dixon S, Wilson J, Clark C, Galke W
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Choi JW, Kim SK. 2003 Association b
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Holick MF. 2007. Vitamin D deficien
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Ross EA, Szabo NJ, Tebbett IR. 2000
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Markowitz M. 2000. Lead poisoning.
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Lonnerdal B. 1985. Dietary factors
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Guidelines for the Identification &
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Kosnett et al.reduction of lead exp
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Kosnett et al.of nonsteroidal anti-
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Kosnett et al.on its website (OSHA
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Kosnett et al.Ettinger AS, Tellez-R
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4) Clinicians should feel free to c
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arely seen.Blood Lead Level and Zin
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program may enhance the prospect fo
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exposure. Women with a history of l
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TABLE 1Jobs and Industries with Pot
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TABLE 3TABLE 3Health EffectsHealtht
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ACKNOWLEDGEMENTSThese guidelines we
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A. CONTACT INFORMATIONI would like
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ID:___________________________7. Do
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ID:___________________________E. CO
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16. [Imported Cosmetics] Have you u
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ID:___________________________21. H
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ID:___________________________J. AL
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ID:___________________________Couns
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BangladeshID:______________________
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7. Are there areas of bare soil nea
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LEAD RISK ASSESSMENT REPORT [ADDRES
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Kitchen Window Sash by Sink White I
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Appendix BXRF Testing ResultsPaint
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LI #:3. What is the exact spelling
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LI #:G. COUNSELING AND EDUCATION F
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CHILD ID: Page 2 of 123. What is th
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CHILD ID: Page 4 of 12Instructions:
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CHILD ID: Page 6 of 1221a. If yes >
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CHILD ID: Page 8 of 1227. Does your
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CHILD ID: Page 10 of 1231a. If yes
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CHILD ID:Page 12 of 12APPENDIX A: Q
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Vitamin CThe Recommended Dietary Al
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TABLE XII-1Recommended Dietary Inta
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Raisin bran, 3/4 cChickpeas, mature
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How does lead get into mybody?Lead
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Make sure you don’t accidentally
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Are there any laws thatprotect me i
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Lead Health Evaluation FormTo the w
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Guidelines for the Identification and Management of Lead Exposure

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