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This chapter provides a detailed protocol for investigating and managing lead hazards in homes where children have elevated blood lead levels. It outlines environmental investigation, identification
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How to fill out Investigation and Treatment of Dwellings Housing Children With Elevated Blood Lead Levels

01
Gather the necessary data about the child including their blood lead levels and medical history.
02
Identify the dwelling where the child resides and any other locations they frequently visit.
03
Contact a qualified lead inspector or risk assessor to perform a comprehensive lead assessment of the dwelling.
04
Review the assessment report, which should outline sources of lead exposure such as paint, dust, or soil.
05
Develop a remediation plan based on the assessment findings to eliminate lead hazards.
06
Implement the remediation plan, which may involve professional cleaning, painting, or removal of contaminated materials.
07
Conduct follow-up lead testing for the child after remediation to ensure blood lead levels have decreased.
08
Educate the family about lead poisoning prevention measures to reduce future exposure.

Who needs Investigation and Treatment of Dwellings Housing Children With Elevated Blood Lead Levels?

01
Children who have been diagnosed with elevated blood lead levels.
02
Families living in older homes or communities with known lead hazards.
03
Pregnant women living in environments where lead exposure is possible.
04
Childcare providers responsible for the safety of children in their care.
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Exposure to even low levels of lead can cause damage over time, especially in children. The greatest risk is to brain development, where irreversible damage can occur.
Chelation therapy might be recommended for children with a blood level of 45 mcg/dL or greater and adults with high blood levels of lead or symptoms of lead poisoning. ethylenediaminetetraacetic acid (EDTA) chelation therapy.
Chelation therapy. In this treatment, a medication given by mouth binds with the lead so that it's excreted in . Chelation therapy might be recommended for children with a blood level of 45 mcg/dL or greater and adults with high blood levels of lead or symptoms of lead poisoning.
Lead-based paint and lead-contaminated dust are the most common sources of lead poisoning.
What does it mean for a child to have an elevated blood lead level (EBLL)? An EBLL occurs when a child under age six is found to have five micrograms or more of lead per deciliter of blood. An EBLL is measured by a venous blood draw. A finger is not enough.
The Environmental Protection Agency (EPA) analyzed data on children's blood levels from the CDC and found that the median concentration of lead in the blood of children between the ages of one and five years decreased by 96% from 15 µg/dL in 1976–1980 to 0.6 µg/dL in 2017–March 2020.
If a child has lead in their blood above the CDC blood lead reference value, their doctor may recommend follow-up services. These include finding and removing lead from the child's environment and feeding the child a diet high in iron and calcium.
Management of cases where the blood lead concentration is >0.24 μmol/L (>5 μg/dL) but below 2.4 μmol/L (50 μg/dL) normally involves only removal from exposure, however iron and calcium supplements may decrease both pica and absorption of lead. Chelation therapy may be considered in some cases of chronic poisoning.

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It is a process aimed at identifying and mitigating sources of lead exposure in residential properties occupied by children with elevated blood lead levels.
Landlords, property owners, or their representatives are typically required to file this report if their properties are known to house children with elevated blood lead levels.
The form should be completed by providing detailed information about the property, lead exposure sources, any interventions made, and the current status of lead hazards.
The purpose is to ensure the health and safety of children by removing lead hazards, thus preventing further lead exposure and associated health issues.
The report must include information about the child's blood lead level, the presence of lead hazards in the home, actions taken to remediate lead risks, and follow-up assessments.
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