Lead Poisoning Prevention Program

The New Mexico Lead Poisoning Prevention Program collects blood lead level data and provides case management services to Children and Adults with elevated blood lead levels. In an effort to prevent lead poisoning and decrease elevated lead levels in exposed children, the program provides:

Lead exposure in children can cause behavioral and learning problems, hearing loss, and at very high levels, seizures, coma, and death. Adults with elevated lead levels are most often caused by Occupational exposure. High lead levels can cause high blood pressure, reproductive problems, kidney damage, hearing loss, and neurological problems.

During case management, adults are warned about Carrying Lead Dust Home to their children and about the dangers of lead for an Expectant Mother and her unborn child. Developing fetuses and growing children are highly susceptible to lead’s toxic effects.


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Should children be tested for lead?

Children exposed to even small amounts of lead can suffer adverse health affects, most notably a lowered IQ, and may develop learning and behavior problems.

Both Federal and State Medicaid regulations require that all children enrolled in Medicaid be tested at 12 months and again at 24 months of age. Children between the ages of 36 months and 72 months of age must receive a screening blood lead test if they have not been previously screened for lead poisoning. No state is exempt from this requirement!

Children with blood lead levels below 10 micrograms per deciliter (µg/dL)

Even low levels of lead in blood have been shown to affect IQ, ability to pay attention, and academic achievement. Therefore, for levels between 5-9 µg/dL and if requested, the New Mexico Department of Health will work with parents and physicians to identify sources of lead exposure so the exposure may be reduced or stopped. This involves discussing potential sources of a child’s exposure and providing education about lead exposure prevention.

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Should adults be tested for lead?

In New Mexico, industries where lead exposure is common include public safety, radiator repair, mining and construction. However, non-occupational sources of lead exposure are also common in adults and include (but are not limited to) firearm hobbies, retained bullets, and the use of herbal remedies.

Adults should have a blood lead level test if:

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Should pregnant women be tested for lead?

The New Mexico Department of Health recommends following the medical case management guidelines developed by the CDC regarding pregnant and lactating women.

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Lead Renovation: Repair & Painting Rule

Requires the use of lead-safe work practices to ensure that common renovation activities like sanding, cutting and demolition, which can create hazardous lead dust, are conducted properly by trained and certified contractors or individuals.

It's federal law! If you are a Renovation Firm or Contractor, Training Provider, Property Manager, the General Public, or Member of the Press, you must follow the EPA Lead Renovation Repair and Painting Rule (RRP).

The rule includes the following:

For more information please visit the Lead Renovation Repair and Painting Rule web page.


Free Online Continuing Medical Education (CME) Credits!

The California Department of Public Health (CDPH) has developed four free online training courses offered through UC Davis Health System and CME California.

  1. Childhood Lead Poisoning Prevention Course
  2. Occupational Lead Poisoning Course
  3. Coccidioidomycosis Occupational Health Issues Course
  4. Mercury Exposure and Health Effects Course

Medical care providers receive up to 1.0 hour of Category One credit for each course from UC Davis Health System, Office of Continuing Medical Education.

For Certified Industrial Hygienists, follow the requirements of the American Board of Industrial Hygiene for claiming certification maintenance credit following course completion.


Statistics

Approximately half a million US children aged 1-5 years have blood lead levels greater than 5 micrograms of lead per deciliter of blood (µg/dL), the CDC Blood Lead Reference Level based on the 97.5th percentile of blood lead level distribution in US children aged 1-5 years. A child is considered to have an elevated blood lead level (EBLL) at a concentration of 10 µg/dL or greater.

Despite increases in New Mexico’s annual screening rates, only about 10% of children aged 1-5 years were tested for lead exposure in 2010. The rates of elevated blood lead levels among children aged 1-5 years have remained at relatively stable levels during the past few years. For example, from 2006 to 2010, the annual rates of elevated blood lead levels among children fluctuated between 1 and 2 children for every 1,000 children tested for lead exposure. From 2006 to 2010, 68 children under the age of 6 were found to have confirmed elevated blood lead levels among the 56,515 tested.

Fortunately, rates of elevated blood lead levels in New Mexican children are lower relative to US rates. However, since exposure to lead is known to have numerous adverse health effects and is a preventable exposure, these rates are still a concern. Despite the federal requirement that Medicaid-eligible children are to be tested for lead exposure, this testing does not always occur. Therefore, the rates of elevated blood lead levels may be unrealistically low.

From 2006 to 2010, 10,119 New Mexican residents aged 16 and older reported blood lead levels to the NMDOH. Of these, 31 adults had elevated blood lead levels (>25 µg/dL, 8 of which reported blood lead levels at 40 µg/dL or greater). Of the adults with elevated blood lead levels, 19 were due to occupational exposures.


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