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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.

Changes to NH’s Blood Lead Level Test Result Reporting Rules

On June 11, 2020, the NH Division of Public Health Services (DPHS) made changes to the He-P 1600 Lead Poisoning Prevention and Control rules that impact blood lead level (BLL) test results reporting to the Healthy Homes and Lead Poisoning Prevention and Control Program (HHLPPP).

Changes impacting all laboratories and medical practices completing POC BLL testing in-office are:

  • Timeframes required to report BLL test results to NH DPHS:
    • Lead result of 0 to 9μg/dL – report within 5 BUSINESS DAYS
    • Lead result of 10 to 44μg/dL – report within 3 BUSINESS DAYS
    • Lead result of 45μg/dL or higher – report within 1 BUSINESS DAY

  • A unique specimen ID number is required for each BLL test reported.

  • Electronic Reporting of BLL test results.
    NH DPHS will no longer be accepting faxed blood lead reports. The following report types will be accepted:
    • ASCII files
    • CSV files;
    • Health Language 7 (HL7)
    • LeadCare II Excel spreadsheets (provided by the HHLPPP); or
    • Other formats which are compatible with those of the department.

If your Practice/laboratory has not been contacted by the HHLPPP about transitioning to electronic reporting or if your health system has not already begun the process, please contact Beverly Baer Drouin, Administrator at Beverly.Drouin@dhhs.nh.gov.

If you have any questions about the changes to New Hampshire’s blood lead level test reporting rules, please contact Ryan Mallory RN, Nurse Manager at (603) 271-4718 at Ryan.Mallory@dhhs.nh.gov.

 

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 7.5mcg/dl receive nurse case management services.

Contact LeadRN@dhhs.nh.gov for more information.

Effective July 1, 2021 – Lowering of Blood Lead Level Triggering Public Health Action

The current ‘action level’ at which public health nurses and lead inspectors visit a child’s home and a child enters case management is 7.5 µg/dL. This action level will be reduced to 5µg/dL. as of July 1, 2021. This level, 5µg/dL. is the current ‘action level’ recommendation by the Centers for Disease Control and Prevention.

This lowering of the NH DHHS public health action level is the result of the February 2018 changes to NH RSA 130-A that have gradually lowered the level.

Resources Available for Pediatric Health Care Providers
Childhood Lead Poisoning Medical Management Quick Guides and On-site Education

In response to the passing of SB247, the NH Division of Public Health Services has updated the medical management quick guides that are available for pediatricians to use in exam rooms. The laminated medical management quick guides include:

Child Medical Management Provider Quick Guide thumbnail POC Lead Testing with LeadCare II Analyzer Quick Guide thumbnail
Child Medical Management Provider Quick Guide Adobe Acrobat Reader Symbol (revised July 1, 2021) POC Lead Testing with LeadCare II Analyzer Quick Guide Adobe Acrobat Reader Symbol
(revised July 1, 2021)

Laminated quick guide reference sheets for exam rooms are available at no cost by request.

Short educational sessions on NH’s the new childhood blood lead level testing requirements, medical management guidelines, surveillance data and the services provided by the DPHS nurse case management staff can be scheduled at medical practice or hospital affiliate sites at no cost. Education sessions can readily be arranged before clinic hours, lunchtime, or during evening for your convenience.

For more information about any of these resources, contact Gail Gettens, MS, Child Development Specialist and Health Promotion Advisor, Division of Public Health Services, Healthy Homes and Lead Poisoning Prevention Program at gail.gettens@dhhs.nh.gov or (603) 271-1393.

Lead Care II Testing Supply Kits Recall Information

Adults and Lead

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852


copyright 2016. State of New Hampshire