What is lead? Lead is a common element that can harm our bodies. The body cannot distinguish lead from the other minerals that we need like calcium and iron, and it is absorbed into our bloodstream if it is breathed in or swallowed



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WHAT IS LEAD?
Lead is a common element that can harm our bodies. The body cannot distinguish lead from the other minerals that we need like calcium and iron, and it is absorbed into our bloodstream if it is breathed in or swallowed. Once absorbed into our bloodstream, lead is then deposited into our brain and bones where it can cause serious damage. Children and pregnant women are at the greatest risk for lead poisoning!
AM I AT RISK FOR LEAD EXPOSURE?

Do you live in or visit a building built before 1978, with peeling/chipping paint or with ongoing renovation (dust)???


FACT: Lead can be found in the paint in homes built before 1978. The paint can flake and peel resulting in dust contaminated with lead. Also, plumbing pipes and fixtures made with lead can contaminate the water that is used for drinking and cooking.



Does your home have plumbing with lead pipes or copper with lead solder joints?
Do you or a family member (who visits, you visit, or lives with you) work in an occupation (job) or participate in a hobby that may contain lead? Examples include but not limited to:
Auto mechanics/bodywork Plumbing Smelting Metals/ Scrap yards

Farm/Migrant Farm Work Blowing Glass Recycling centers

Furniture Refinishing Gardening Metal Sculpting

Renovation Work Painting Stained Glass

Painting Roads Printing Car/Boat repair

Metal Work/Welding Casting Aluminum Firing Ranges

Plastics manufacturing Ceramic Making Firearms/Firing Range

Radiator Repair Electronic soldering Burning Renovation materials

Making Bullets/Sinkers/lead toys High Construction Area Battery Recycling/Smelting

Home Repairs/Remodeling Bridge Repair/Painting Jewelry Making/Repair



FACT: Some jobs and hobbies expose people to lead. Sometimes products made outside of the United States can contain lead such as vinyl mini-blinds, glazes for dishes, cosmetics, foods and toys.


Do you have someone close such as a child, sibling, housemate, or playmate or close contact (at work/home/church/school) that has been or is being treated or monitored for lead poisoning? (blood level at or above 15µg/dL)?

Do you live near a heavily traveled major highway where soil/ dust may be contaminated with lead?


FACT: Soil around your home could be contaminated by past leaded gasoline fallout and lead based insecticides, and could be on or in your soil, or in cisterns/wells for many years following contamination. This soil can get on your child’s hands and also be absorbed from the soil in fast growing plants such as kale, spinach, and other garden vegetables.


Do you chew on crayons, pottery, paint chips or any painted surfaces, or eat dirt?
Do you use folk remedies or use old painted pottery to store food that may possibly contain lead?

(see next page for list of known folk remedies)
Known Folk Remedies Containing Lead
Azarcon aka: Ruedo, Corol, maria luiso, Alarcon, Ligo- used for intestinal illness

Greta: a yellow powder used for intestinal illness.

Dominican Republic

Litargirio: yellow peach powder used as a deodorant, foot fungicide, treatment for burns and wound healing

Hmong Community

Pay-loo-ah- a red powder given for rash or fever.

Asian

Ghasard: a brown powder given as an aid to digestion.

Sindoor: a powder applied to face or scalp during ceremonies, mistakenly used as food

Bala Goli: a round, flat, black bean dissolved in ‘gripe water’ and used for stomach ache.

Kandu: a red powder used to treat stomach ache.

Kajal : eye cosmetic when used can be ingested if on hands

Surma: eye cosmetic when used can be ingested if on hands

Arab American

Kohl: aka Alkohl: a powder used both as a cosmetic eye make-up and applied to skin infections and the navel of a newborn child.

Africa and Middle East

Kajal : eye cosmetic when used can be ingested if on hands

Surma: eye cosmetic when used can be ingested if on hands

WHAT ARE THE POSSIBLE RISKS OF LEAD EXPOSURE IN PREGNANCY?


  • Increase chance of miscarriage, low birth weight, premature birth, stillbirth

  • May cause learning and behavior problems for the baby/child

  • May cause birth defects


WHAT ARE THE SIGNS OF LEAD POISONING?


  • Many times symptoms are not present!

  • May include headaches, mood changes, tiredness, anemia (low blood), or nausea (These are also commonly seen in normal pregnancies)



OTHER POSSIBLE WAYS TO AVOID LEAD EXPOSURE




  • Avoid chipping or peeling paint and do NOT sand or scrape paint

  • Replace plastic mini-blinds if made in China, Taiwan, or Mexico

  • Do not eat or drink out of lead glazed ceramic dishes

  • Be aware of “folk remedies” that may contain lead (Azarcon, Greta, Pay Looah)

  • Always wash fruit and vegetables thoroughly before eating

  • Wear gloves when gardening or otherwise working in the soil

  • Wash your hands frequently, especially before eating or drinking

  • Avoid hobbies that may increase your lead exposure

  • If someone in your household works around lead, be sure they shower and change clothes before coming home and do not wash contaminated work clothes with the family’s laundry.

If you work in an area where you may be exposed to lead, talk to your supervisor about decreasing your exposure while you are pregnant.

Check with your health care provider for blood testing if you or your children are at risk for lead exposure.




Please Place this copy in Patient Chart:
Place Label here

Verbal Lead Risk Assessment

To be completed at every preventative visit for:

  • Children ages 6-72 months

  • Positive Pregnancy Test or Initial Prenatal Visit

Parent/ Guardian:____________________________________ Date of Initial Assessment:_______________


The following situations may create lead exposure. It is imperative to evaluate the possible risks in a child’s environment and a prenatal patient’s risks. Check any questions that may be answered yes.
Verbal Risk Assessment Questionnaire

  1. Does the patient live in or visit a building built before 1978, with peeling/chipping paint/paint dust or with ongoing renovations?

  2. Does the patient’s home have plumbing with lead pipes or copper with lead solder joints?

  3. Does the patient have a close contact such as a child, sibling, housemate, or playmate or close contact (at work/ home/church/school) that has been or being treated or monitored for lead poisoning? (Blood level at or above 15µg/dL)?

  4. Is the patient exposed to or have a family member (who visits or the child visits or lives with patient) that works in an occupation (job) or participate in a hobby that may contain lead? (Examples include but not limited to: work with lead batteries; firing ranges; chemicals or chemical preparations; construction of bridges, tunnels and elevated highways, etc.)

  5. Does the patient live near a heavily traveled major highway where soil/ dust may be contaminated with lead?

  6. Does the patient chew on crayons, pottery, paint chips or any painted surfaces, or eat dirt?

  7. Do you use folk remedies or use old painted pottery to store food that may possibly contain lead?




  • MCH-25a Reviewed and Given to Patient

  • No risks identified.

  • Risk(s) identified from list: 1 2 3 4 5 6 7

Other:___________________________________________
□Completed BLL:

Preventive Education Provided:

Provider Signature Date



  • MCH-25a Reviewed and Given to Patient

  • No risks identified.

  • Risk(s) identified from list: 1 2 3 4 5 6 7

________________________________________________

□Completed BLL

□Preventive Education Provided______

Provider Signature Date









  • MCH-25a Reviewed and Given to Patient

  • No risks identified.

  • Risk(s) identified from list: 1 2 3 4 5 6 7

________________________________________________

  • Completed BLL

  • Preventive Education Provided:___________________

Provider Signature Date



  • MCH-25a Reviewed and Given to Patient

  • No risks identified.

  • Risk(s) identified from list: 1 2 3 4 5 6 7

________________________________________________

□Completed BLL

□Preventive Education Provided______

Provider Signature Date





MCH-25a Lead 1 (Patient Copy) Rev. 7/13


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