Kentucky Childhood Lead Poisoning Prevention Program (KCLPPP) is part of the Healthy Homes Initiative and offers a comprehensive approach to primary and secondary prevention of childhood and prenatal lead poisoning and other housing-related health hazards.
Primary prevention includes activities such as blood lead screenings for at-risk populations and education on preventive strategies to decrease childhood and prenatal lead hazard exposure.
Secondary prevention includes case management follow-up for elevated blood lead levels, medical and environmental services, epidemiologic studies, education and connections to other professionals and programs.
Primary Prevention: Blood lead screening of at-risk populations
- Children 72 months of age and younger and pregnant patients
- Medicaid eligible
- Those living in a targeted ZIP code
- Those responding yes or don't know on the Lead Poisoning Verbal Risk Assessment
Education on preventive strategies:
- Identify potential sources of lead hazards
- Keep children away from potential sources of lead hazards
- Encourage a diet that includes increased amounts of calcium, iron and vitamin C and less fat to help prevent lead absorption.
- For housing built before 1978, housecleaning techniques such as damp dusting, wet mopping, vacuuming daily with a HEPA-filtered vacuum, leaving shoes at the door in a tote or on a shelf that is inaccessible to children, wiping child's toys down daily and keeping in a covered tote
- Hand washing with soap and water prior to eating/snacking or sleep times
- Use temporary measures to reduce childhood access to lead based paint hazards that may include but are not limited to: blocking child access to potential hazardous area with a barrier, for example, placing furniture in front of a chipping window sill;
- Use of duct or masking tape and plastic or cardboard to cover an area of chipping/peeling surface until permanent work can be conducted;
- Daily damp dust, wet mop and vacuum with a HEPA-Vac, especially in the child’s play area;
- Wipe child’s toys clean, keep toys in clean dry tote, and placing tote in cleaned play area and limiting the child’s play to only this area; (especially if child is crawling and/or in hand-to-mouth exploration stage);
- Keep child’s hands washed with soap and water, (germ gel does not remove lead), wash hands before snacks and meals and before any sleep times, nap or bedtime (especially if child is crawling and/or in hand-to-mouth exploration stage);
- Leaving shoes outside, or placing shoes in a tote or shelf out of the child’s reach to keep lead dust/paint chips from being tracked in from outside.
- Exploring the possibility to relocate child(ren) and pregnant women from the home while renovation/remediation work is in progress.
- Assure the family is using lead safety work practices during renovations (walk off areas, plastic off door areas, remove shoes/clothing before entering living spaces, daily clean up and vacuuming of work and walk off areas).
- Order renovation posters and brochures
Kentucky Revised Statutes:
President’s Task Force on Environmental Health Risks and Safety Risks to Children--Coordinated Federal Action Plan to Reduce Racial and Ethnic Asthma Disparities
New CDC Guidelines on the management of elevated blood lead levels:
How can I have my home inspected for lead?
Have your home tested for lead by calling a certified lead inspector or lead risk assessor. Home test kits are available, but they are not always accurate.
You may call Kentucky’s Environmental Lead Program (ELP) at (502) 564-4537 for a listing of certified individuals or you may click here to download a listing
. You can also call Kentucky’s Child Lead Poisoning Prevention Program (CLPPP) at (502) 564-2154 or Kentucky’s regional Environmental Protection Agency (EPA) at (404) 562-8998 for more information.
My child has had a blood lead test, what happens next?
The result of the child's blood lead test is the deciding factor on what happens next.
If the result of the blood test is less than 10 micrograms per deciliter (ug/dL) then it is below the level of concern and no further action is taken. However, all children should receive a test at 12 months of age and at 24 months of age regardless of past history. So, have the child tested again at a later date at the ages specified above.
If the result of the blood test is between 10 and 19 ug/dL then the blood level is at the level of concern. A local nurse and/or environmentalist may make a home visit for a visual investigation. You will be given information on nutrition and possible interim controls that you can use to lower your child's blood level.
If the result is confirmed at 20 ug/dL and above, you should take your child to your primary physician for a medical evaluation and start medical nutrition therapy. You can expect a local nurse and/or environmentalist to make a home visit for a visual investigation as well as a risk assessment by a certified risk assessor.
If the result is 45 ug/dL and above, your physician may recommend chelation therapy. Chelation therapy uses drugs that are capable of breaking down lead in the body to help it leave. All drugs have potential side effects and must be used with caution so speak with your physician about what you can expect.
Here are some resources you may find helpful:
Microsoft PowerPoint Presentations
Materiales en Español
Kentucky Lead Regulations
Kentucky Revised Statutes
Cabinet for Health and Family Services
Childhood Lead Poisoning Prevention
Lead-Hazard Detection and Abatement
Kentucky Administrative Regulations