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COUNTY OF SAN MATEOInter-Departmental Correspondence |
Health Services Agency |
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DATE: |
July 3, 2003 |
BOARD MEETING DATE: |
July 15, 2003 |
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TO: |
Honorable Board of Supervisors |
FROM: |
Margaret Taylor, Director of Health Services |
Brian Zamora, Director, Public Health and Environmental Protection
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SUBJECT: |
Agreement with the State Department of Health Services for Childhood Lead Poisoning Prevention |
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Recommendation |
Adopt a resolution authorizing the President of the Board to execute an agreement with the State Department of Health Services to provide funding for the Childhood Lead Poisoning Prevention Program for FYs 2002-05. |
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Background |
Lead poisoning in children remains a major preventable public health problem. Relatively low blood lead levels (levels associated with no symptoms) can have adverse effects on the nervous system, kidneys, and other organs of young children. Higher levels, if not detected and promptly treated, may lead to death. |
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Since January 1992, Child Health and Disability Prevention Program (CHDP) providers have been required to screen children aged six months to six years for the risk of lead poisoning. Beginning September 1, 1999 guidelines were modified such that children eligible for Medi-Cal, CHDP, Healthy Families, or WIC should have a blood lead test at age 12 months and again at 24 months of age. |
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Discussion |
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Beginning January 1993, the State Childhood Lead Poisoning Prevention Program (CLPPP) has awarded funds to local health departments. This funding is used to support the costs of home investigations, case management, surveillance, tracking, and community outreach and education. |
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Performance Indicators |
FY 2001-02 Actual |
FY 2002-03 Estimated |
FY 2003-04 Projected |
FY 2004-05 Projected |
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Blood test results received |
3,172 |
3,950 |
4,200 |
4,350 |
Number of children with elevated levels requiring case management or tracking |
64 |
77 |
79 |
83 |
Percentage of tests with blood levels less than 10mcg/dl (no lead burden) |
98% |
98% |
98% |
98% |
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Vision Alignment |
The agreement with the State Department of Health Services keeps the commitment of ensuring basic health and safety for all and goal number 6: Children grow up healthy in safe and supportive homes and neighborhoods. The agreement with the State Department of Health Services contributes to this commitment and goal by providing funds to support childhood lead poisoning prevention in San Mateo County, thereby increasing the likelihood of children growing up healthy. |
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Fiscal Impact |
The maximum amount payable under the three-year agreement is $645,534; $212,269 for FY 2002-03, $216,374 for FY 2003-04, and $216,891 for FY 2004-05. Revenue and expenses for FY 2003-04 have been included in the FY 2003-04 proposed budget for Public Health. There is no net county cost for this program. |
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Processing of this agreement is late due to delays in completion by the State Department of Health Services. |