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Managing Elevated Blood
Lead Levels Among Young Children: Recommendations from the Advisory
Committee on Childhood Lead Poisoning Prevention
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Questions and Answers on
CDC’s New Case Management Guidelines
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1.
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How is the new CDC guidance
on case management different from other guidance documents?
- CDC
printed three revisions of the statement on Preventing Lead Poisoning
in Young Children in 1978, 1985, and 1991.
In 1997, CDC provided recommendations on screening.
This document provides current information on the scientific basis
for interventions to reduce exposure to lead among identified cases.
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2.
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What is the purpose of the
new guidance document?
The new guidance is
intended to improve the quality of the management of children with
elevated blood lead levels (EBLLs). Current case management practices of
children with elevated blood lead levels vary markedly among states,
cities, and jurisdictions. This
document provides case managers with up-to-date information on
assessment and interventions in five key areas:
- Environmental
Exposure
- Medicine
- Nutrition
- Child
Development
- Caregiver
Education
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3.
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What
is new in this guidance document?
- The
new guidance is not a comprehensive overview of childhood lead
poisoning prevention, but instead focuses on follow-up care of
children with EBLLs.
- It
discusses approaches to case management for children with EBLLs to
achieve the purpose outlined in question #2 above.
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4.
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Who
is the primary audience for the proposed new guidance document?
The primary audience
for CDC’s case management recommendations is case managers of children
with EBLLs. However, other
individuals or groups---primary care providers (PCPs), public health
agencies, nutritionists, managed care organizations, and environmental
inspectors---will find guidance in assessments and interventions related
to children with EBLLs.
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5.
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What
population is covered by the new guidance document?
The
guidance focuses on the case management of children with EBLLs who are
less than 6 years of age. However,
it is especially important to direct interventions to children less than
2 years of age because lead exposure during time when the brain is still
developing is more likely to result in permanent damage.
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6.
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How
was this document prepared?
The
new guidance was prepared by the Advisory Committee on Childhood Lead
Poisoning Prevention (ACCLPP), CDC staff, and national experts in each
subject area. Recommendations
in each chapter are based on the results of evidence-based studies
wherever possible. In the
absence of sufficient study data, the opinions of respected authorities
were considered in the formulation of these recommendations.
In their final form, the recommendations in this document
represent the consensus of the ACCLPP.
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7.
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What sort of assistance will
CDC give to state and local childhood lead poisoning prevention programs
to help with the implementation of the new guidance?
CDC
will continue to provide technical assistance for the development and
implementation of case management protocols in each program.
In addition, CDC will continue to conduct and promote research
into the most effective practices of case management in children with
EBLLs.
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8.
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Will
the new guidance replace the 1991 document?
The
new guidance does not contain information on all the subjects in the
1991 guidelines. Rather, it
focuses on the follow-up care for children with EBLLs.
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