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Este documento proporciona una guía para los estados sobre cómo solicitar la transición de un enfoque de cribado universal a un cribado dirigido para niños elegibles para Medicaid, incluyendo
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How to fill out guide for states interested

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How to fill out Guide For States Interested in Transitioning to Targeted Blood Lead Screening

01
Review the current guidelines and recommendations for blood lead screening.
02
Assess the specific needs and demographics of your state's population regarding lead exposure.
03
Identify and gather data on high-risk areas and populations that may require targeted screening.
04
Develop a strategic plan that outlines the objectives and methods for implementing targeted blood lead screening.
05
Collaborate with local health departments, community organizations, and stakeholders to gather input and support.
06
Create educational materials and training programs for healthcare providers to ensure effective implementation.
07
Establish a system for reporting and tracking blood lead levels to monitor progress and outcomes.
08
Evaluate and adjust the screening program based on feedback and data collected.

Who needs Guide For States Interested in Transitioning to Targeted Blood Lead Screening?

01
State health departments looking to improve their lead screening programs.
02
Policymakers aiming to reduce lead exposure in specific populations.
03
Public health officials seeking to allocate resources effectively for lead screening.
04
Community organizations focused on addressing environmental health issues.
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The mean blood lead level (BLL) for U.S. adults is less than 1 µg/dL (CDC). Chronic adverse health effects have no threshold, so clinicians should monitor patients with elevated BLL until below 5 µg/dL.
The revised California lead standard also lowered the blood lead level (BLL) triggering removal from a lead work area from 50 micrograms per deciliter (50 µg/dL) of whole blood to 30 µg/dL and the return to former work area BLL from 40 µg/dL to 15 µg/dL.
The venous blood test is referred to as the “gold standard” for blood lead testing. lead tests can be used for detecting clinically significant lead exposure in the previous 24-hours. However, this is not a substitute for blood lead screening.
You must remove a worker from 'lead risk work' when their blood lead levels exceed: 30 µg/dL (1.45 µmol/L) for females not of reproductive capacity and males, and. 10 µg/dL (0.48 µmol/L) for females of reproductive capacity, or those who are pregnant or breastfeeding.
Eleven states (California, Connecticut, Illinois, Maine, New Hampshire, New Jersey, North Carolina, Oregon, Rhode Island, Vermont and Washington) and two cities (New York City and DC) require licensed child care facilities to test their drinking water for lead.
10 parts per billion (ppb) for fruits, vegetables (excluding single-ingredient root vegetables), mixtures (including grain- and meat-based mixtures), yogurts, custards/puddings, and single-ingredient meats; 20 ppb for single-ingredient root vegetables; and. 20 ppb for dry infant cereals.
Children enrolled in Medicaid are required to get tested for lead at ages 12 and 24 months. They are also required to get tested if they are ages 24–72 months and have no record of ever being tested. For children not enrolled in Medicaid, CDC recommends focusing testing efforts on high-risk neighborhoods and children.
The current Bright Futures/AAP Periodicity Schedule recommends a risk assessment at the following well-child visits: 6 months, 9 months, 12 months, 18 months, 24 months, and at 3, 4, 5 and 6 years of age.

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The Guide for States Interested in Transitioning to Targeted Blood Lead Screening provides a framework for state health departments to shift from universal to targeted blood lead screening for children at risk of lead exposure.
State health departments and organizations involved in lead poisoning prevention and health care are typically required to file the Guide for States Interested in Transitioning to Targeted Blood Lead Screening.
To fill out the Guide, states need to follow specified instructions that include providing data on blood lead levels, identifying at-risk populations, and outlining strategies for screening and follow-up.
The purpose of the Guide is to assist states in refining their lead screening programs, enhancing the identification of children who are at the highest risk for lead exposure, and improving overall public health outcomes.
States must report data including the prevalence of elevated blood lead levels, screening rates, demographic information of affected populations, and details on intervention strategies.
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