Eliminating Childhood Lead Poisoning in New York State by 2010

V. Proposed Strategies for New York State

Strategic Work Plan Framework

This strategic plan was developed in recognition of the compelling need to eliminate childhood lead poisoning, and in response to CDC's call for the elimination of lead poisoning by 2010. This plan, covering upstate New York, is a companion to the strategic plan under development by New York City Department of Health and Mental Hygiene, covering New York City.

The New York State Department of Health (NYSDOH) developed the plan as a joint effort of the Centers for Community Health and Environmental Health, in cooperation with other state agencies and stakeholders. The plan incorporates input from a variety of partners, including the Governor's Lead Advisory Council, the Maternal Child Health Block Grant Advisory Council, the NYS Chapters of American Academy of Pediatrics and American College of Obstetricians and Gynecologists, and the New York State Association of County Health Officials (NYSACHO).

The plan identifies goals related to the elimination of childhood lead poisoning, and outlines objectives and action steps to accomplish those goals. The plan encompasses three priority focus areas: Surveillance, Targeting High Risk Populations, and Primary Prevention. These focus areas reflect the priorities articulated by CDC, and address the significant variation in the burden of childhood lead poisoning across the state.

  1. Surveillance - Use of data sources to identify the nature and scope of the existing childhood lead poisoning problem, assist in identifying high -risk populations and housing, monitor the scope of the problem and evaluate the effectiveness of interventions. Surveillance also contributes to individual case identification to ensure prompt, appropriate medical and environmental management.
  2. Targeting high-risk populations - Use of an array of interventions to minimize the probability of continued exposure among populations with high rates of exposure.
  3. Primary prevention - Before a child is poisoned, advance feasible approaches to assess and improve environmental lead safety while preserving affordability.

The plan incorporates long-term goals and objectives based on current capacity, known or anticipated resources, successful models, current needs and other relevant factors. It also acknowledges and supports the Healthy People 2010 goal to eliminate childhood lead poisoning defined as a blood lead level of 10 micrograms per deciliter in a child less than six years of age. The plan is a useful guide for decision makers, local health departments, communities, health care providers, advocacy groups and the general public to better understand the burden of childhood lead poisoning in New York State and the strategies for its elimination.

While much important work is already being done in New York State to prevent childhood lead poisoning, additional measures are needed to achieve elimination. While the strategies outlined in this plan provide a solid foundation for elimination of childhood lead poisoning, communities may choose to adopt additional or alternative effective strategies to augment the plan.

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