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Childhood lead poisoning, which is entirely preventable, is one of the most common pediatric health problems in the United States today. We know enough about the sources and pathways of lead exposure and how to prevent lead poisoning to permanently eliminate this disease. Children are particularly vulnerable to lead's toxic effects. Lead poisoning, for the most part, is silent. Most poisoned children have no symptoms and lead poisoning effects are irreversible. The vast majority of cases, therefore, go undiagnosed and untreated. Lead poisoning is widespread throughout New Hampshire. It is not solely a problem of inner city or minority children. Unfortunately, no socioeconomic group, geographic area, or racial or ethnic population is spared.

The New Hampshire Healthy Homes and Lead Poisoning Prevention Program (HHLPPP) coordinates statewide efforts to eliminate lead poisoning for all ages. This includes tracking cases of blood lead levels for children and adults, and providing outreach and education for children under the age of six years old with elevated blood lead levels above 5 micrograms per deciliter (mcg/dl). Children under the age of six with an elevated blood lead level greater than 10mcg/dl receive nurse case management services.

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New Hampshire Childhood Lead Screening & Management Guidelines

pages from medical management provider quick guideHealth care providers statewide should follow the recently revised 2015 New Hampshire Childhood Lead Screening and Management Guidelines for their young patients. A Medical Management Provider Quick Guide has been developed as a tool to easily understand New Hampshire's screening requirements.

All 234 New Hampshire communities have been designated as either Universal or Targeted in their screening approach. The list of each town's designation is on the back side of the Quick Reference Guide. All children receiving Medicaid, WIC or Head Start benefits are to be tested for lead poisoning.

Adults and Lead

What steps should a healthcare providers take?

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New Hampshire Department of Health and Human Services
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