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April 2005, Vol 95, No. 4 | American Journal of Public Health 556-558
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.039602

FIELD ACTION REPORT

Using Surveillance Data to Develop and Disseminate Local Childhood Lead Poisoning Screening Recommendations: Miami—Dade County’s Experience

Mary Jo Trepka, MD, MSPH

At the time of the development of the screening guidelines described here, Mary Jo Trepka was with the Office of Epidemiology and Disease Control, Miami–Dade County Health Department, Miami, Fla.

Correspondence: Requests for reprints should be sent to Mary Jo Trepka, MD, MSPH, Robert R. Stempel School of Public Health, Florida International University, 11200 SW 8th St, HLS II, Room 595, Miami, FL 33199 (e-mail: trepkam{at}fiu.edu).

Before 1999, few children in Florida’s Miami–Dade County were being screened for lead poisoning. To improve screening rates, the county’s department of health developed screening recommendations and a screening tool using surveillance and census data and disseminated these materials to primary care providers. Each year, recommendations have been reviewed to assess their sensitivity, and revised recommendations have been disseminated to health care providers.

The percentage of children 6 years or younger screened in Florida who reside in Miami–Dade County increased from 4.1% in 1998 to 20.3% in 2002. Analysis and dissemination of blood lead surveillance data not only guide development of screening recommendations but also educate health care providers regarding the importance of childhood screening.






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Copyright © 2005 by the American Public Health Association