HEALTHCARE PROVIDERS ROLES & RESPONSIBILITIES
We need the cooperation of our city’s healthcare community to help us reduce the incidence of lead poisoning in children under 6 years old. Please review the information below as it pertains to the mandated role of healthcare providers in helping to manage the city’s lead poisoning problem.
- As of July 2005, “at risk children” was defined for Orleans Parish as all children 6 months to 6 years old. Identification of at risk children should therefore be based upon age only. Risk questionnaires are still encouraged, but are no longer sufficient to determine whether or not a child should be screened. The July 2005 universal screening law (Orleans Parish) was amended in October of 2008 to include the entire State of Louisiana. The law and amendments can be viewed in the Louisiana Administrative Code (LAC) 48: V 7005-7009.
- Screening guidelines include blood lead testing at ages 1 and 2 (for ALL children). Additionally, CDC guidelines ask that a risk assessment be given at every well baby visit up to 6 years of age. Any answers of “yes” or “unknown” should precipitate a blood lead test.
- ALL results of blood lead testing, regardless of lead level, must be reported for children under 72 months. These results should be faxed to the Louisiana State Lead Prevention Program (LACLPPP) at 504-219-4452
- Healthcare providers in Orleans Parish must report any lead case above 15µg/dL to the New Orleans Childhood Lead Poisoning Prevention Program (NOCLPPP) within 24 hours (Fax: 504-658-2635). Mandatory information in lead case reports include:
- Child’s name
- Parent or guardian’s name
- Mailing Address
- Date of Birth
- Child’s race
- Contact phone number for parent/guardian
- Medicaid number (if applicable)
- Type of sample (venous or capillary)
- Type of test (first, annual, or repeat)
- Blood lead level results