Lead poisoning is still one of the most serious public health concerns facing children in Cuyahoga County. Rates of childhood lead poisoning are well above 20% in many Cleveland neighborhoods and the City of East Cleveland. Cleveland’s rate is in the top 5 nationally, with the current U.S. overall rate at under 2%.
While nationally the rate of childhood lead poisoning has been decreasing, in our community it continues to steal a high proportion of our children’s futures by producing mental deficits and increasing aggressive behavior. This short course will give the medical professions caring for our children an overview of our local problem along with what preventive measures are being taken, and importantly, it will also provide information on treatment and special education for lead poisoned children.
How do we increase the blood lead screening rate which in Greater Cleveland is only about 50% of what it should be? What is the latest status of treatment modalities for children with elevated lead levels? New research suggests that targeted education programs may be able to make major improvements in lead poisoned children. What local medical and educational resources exist for these children and their physicians? This short course will address these questions and feature one of the nation’s leaders in childhood lead poisoning, Bruce P. Lanphear, MD, MPH.
Participant Learning Objectives:
After attending this course, participants will be able to:
Describe the distribution in Greater Cleveland of children with elevated blood lead levels
Identify the proper age for lead screening and know how it is best performed
Identify the levels of blood lead when children should be referred for treatment
Describe the lead treatment options of oral and intravenous chelation
Identify when lead poisoned children should be referred for special education and know what those community resources are
Discuss the community wide efforts in Greater Cleveland to eradicate this problem
Keynote Speaker: Bruce P. Lanphear, MD, MPH
Dr. Lanphear is The Sloan Professor of Children's Environmental Health and the Director of the Cincinnati Children's Environmental Health Center at Cincinnati Children's Hospital Medical Center and the University of Cincinnati. He is the principal investigator for a NIH/EPA-funded Children's Environmental Health Center to study fetal and early childhood exposures to prevalent environmental neurotoxins, including lead, pesticides, and environmental tobacco smoke.
Dr. Lanphear is also conducting a randomized controlled trial to test the safety and efficacy of housing repairs to reduce childhood lead exposure and residential injuries in 400 children followed from birth.
He also serves on the US EPA’s Clear Air Scientific Advisory Committee and is a scientific consultant for the National Center for Healthy Housing.
Dr. Lanphear will review new data on the adverse health effects of childhood lead exposure, review the major sources of childhood lead exposure and discuss the regulations and tools necessary to shift our focus toward primary prevention.
AGENDA TUESDAY, APRIL 4, 2006
10:30 Welcome Matt Carroll & Terry Allan - CDPH, CCBH
10:35 Greater Cleveland’s Lead Problem Matt Carroll & Terry Allan - CDPH, CCBH
10:55 When & How to Screen Bobbi Anderson, CPNP - MetroHealth Medical Center
11:10 When & How to Chelate Larry Quang, MD, - Rainbow Babies & Children’s Hosp
11:30 Once Poisoned, Then What? Melissa Manos, MS - Help-Me-Grow of Cuyahoga Cty
11:50 Questions -the panel
12:00 Luncheon
12:25 Welcome
12:30 Low-Level Lead Toxicity: The Ongoing Search for a Threshold Bruce Lanphear, MD, Sloan Professor of Children's Environmental Health and the Director of the Cincinnati Children's Environmental Health Center at Cincinnati Children's Hospital Medical Center and the University of Cincinnati.
1:00 Questions and Comments
1:30 GCLAC: The Community Plan Matt Carroll and Terry Allan - CDPH, CCBH
2:00 Adjourn
FACULTY
Course Director Dorr G. Dearborn, Ph.D., M.D. Mary Ann Swetland Professor of Environmental Health Sciences Case Western Reserve University
Roberta Anderson, RN, CPNP Lead Clinic MetroHealth Medical Center
Lawrence S. Quang, M.D. Swetland Environmental Health Clinic Rainbow Babies & Children’s Hospital
Matthew Carroll Interim Director, Cleveland Department of Public Health
Melissa Manos, M.S., M.Ed., M.S.M. Executive Director Help Me Grow of Cuyahoga County
Terrence M. Allan, M.P.H. Health Commissioner Cuyahoga County Board of Health
Bruce P. Lanphear, M.D., M.P.H. Sloan Professor of Children's Environmental Health Director of the Cincinnati Children's Environmental Health Center Cincinnati Children's Hospital Medical Center and the University of Cincinnati
The policy of the Case School of Medicine CME Program (Case) requires that the Activity Director, planning committee members and all activity faculty (that is, anyone in a position to control the content of the educational activity) disclose to the activity participants all relevant financial relationships with commercial interests. Disclosure will be made to activity participants prior to the commencement of the activity. Case also requires that faculty make clinical recommendations based on the best available scientific evidence and that faculty identify any discussion of “off-label” or investigational use of pharmaceutical products or medical devices.
Accreditation
The Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Case Western Reserve University School of Medicine designates this educational activity for a maximum of 3.0 AMA PRA Category 1 creditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Nurses and sanitarians can also claim CME credits for this educational activity.
Location
The course will be held at The City Club of Cleveland, 850 Euclid Avenue, Cleveland, Ohio.
Registration
Call Case Western Reserve University, Swetland Center for Environmental Health, phone (216) 368-5967 to register for the short course (there is no fee; room is limited). Separate registration for the luncheon: The luncheon is $15 for City Club members and students and $25 for non-members. Reservations are required at least 24 hours in advance. To register, call The City Club at 216.621.0082 or visit http://www.cityclub.org/content/speakers/SpeakerDetail.aspx?spkID=5311.
St. Luke’s Foundation Cleveland Dept of Public Health Cuyahoga County Board of Health Lutheran Metropolitan Ministry QualChoice HMO Swetland Center for Environmental Health, Case School of Medicine
Greater Cleveland Lead Advisory Council
Participant Organizations:
211/First Call for Help Affordable Services, Inc. African American Women’s Agenda Atrium Environmental Health & Safety Services ASM Group LLC Berea Children’s Home and Family Services Care Alliance CareSource Case Western Reserve University Center for Community Solutions City of East Cleveland City of Lakewood Health Department City of Lakewood Building Department Clark Metro Development Corporation Cleveland ACORN Cleveland Communities Organized Against Lead Cleveland Department of Building and Housing Cleveland Department of Law Cleveland Department of Public Health Cleveland Division of Neighborhood Services Cleveland Division of Workforce Development Cleveland Empowerment Zone Cleveland Housing Network Cleveland Municipal Court Cleveland Neighborhood Development Corporation Cleveland State University Great Lakes Environmental Finance Center Cleveland Tenants Organization Commission on Catholic Community Action Community Assessment and Treatment Services Creative Solutions/Lead Experts Cuyahoga County Board of Health Cuyahoga County Citizen Advisory Board Cuyahoga County Department of Development Cuyahoga Metropolitan Housing Authority Environmental Health Watch Episcopal Diocese of Ohio Euclid-St. Clair Development Corporation Help Me Grow of Cuyahoga County In-Service Training Network Intergeneration School Invest in Children Lutheran Metropolitan Ministry Mahoning County Healthy Homes/Lead Hazard Control Program Mahoning County Family and Children First Council Merrick House MetroHealth Medical Center Molecular Tech Mount Pleasant NOW Development Corporation National Association of the Remodeling Industry Northeast Ohio Alliance for Hope North Coast Ministry Office of Congresswoman Dennis Kucinich Office of Congresswoman Stephanie Tubbs Jones Office of U.S. Senator Mike DeWine Ohio Department of Health Ohio Department of Jobs and Family Services OMEX Development, Inc. Professional Remodelers of Ohio QualChoice R.E.Saffold Association, Inc. Real Neo St. Luke’s Foundation of Cleveland Swetland Center for Environmental Health, Case School of Med Union Construction Industry Partnership Apprenticeship Skills Achievement Program Union Miles Development Corporation United Pastors in Mission University Hospitals of Cleveland US Department of Housing and Urban Development US Environmental Protection Agency Voices for Children Affected by Lead Westown Community Development Corporation
Case Continuing Medical Education Program 11100 Euclid Avenue Cleveland, Ohio 44106-6026
