Featured in Course

• American Academy of Pediatrics. (Reaffirmed, 2021). Policy Statement: Prevention of Childhood Lead Toxicity. Pediatrics, 138 (1): e20161493.
• American Academy of Pediatrics. (2021). AAP News: Revised blood lead reference value: progress, but more work to be done.
• Centers for Disease Control and Prevention (2023). Childhood Lead Poisoning Prevention Program.
• Centers for Disease Control and Prevention (2023). Overview of Childhood Lead Poisoning Prevention.
• Centers for Disease Control and Prevention (2022). CDC updates blood lead reference value to 3.5 µg/dL.
• Centers for Disease Control and Prevention. (2022). Prevent Children’s Exposure to Lead.
• Centers for Disease Control and Prevention. (2022). Blood Lead Levels in Children.
• Centers for Disease Control and Prevention. (2022). Health Effects of Lead Exposure.
• Centers for Disease Control and Prevention. (2018). Blood Lead Levels (µg/dL) among U.S. Children < 72 Months of Age, by State, Year, and Blood Lead Level (BLL) Group.
• Centers for Disease Control and Prevention. (2016). QuickStats: Percentage of Children Aged 1–5 Years with Elevated Blood Lead Levels, by Race/Ethnicity — National Health and Nutrition Examination Survey, United States, 1988–1994, 1999–2006, and 2007–2014. Morbidity and Mortality Weekly Report (MMWR), 65(39):1089.
• Froehlich, T. E., Lanphear, B. P., Auinger, P., Hornung, R., Epstein, J. N., Braun, J., & Kahn, R. S. (2009). Association of Tobacco and Lead Exposures With Attention-Deficit/Hyperactivity Disorder. Pediatrics;124(6): e1054-e1063.
• Texas Department of State Health Services. (2017). Texas Childhood Lead Poisoning Prevention Program (TXCLPPP).
• Texas Department of State Health Services, Texas Childhood Lead Poisoning Prevention Program. Lead Risk Questionnaire. In English, Spanish, French, Arabic and Burmese.
• Texas Department of State Health Services, Texas Childhood Lead Poisoning Prevention Program. Forms, Brochures, Fact Sheets, and Videos for Parents/Caregivers, found under the Protecting your Family tab, Educational Materials section.
• Texas Department of State Health Services, Texas Childhood Lead Poisoning Prevention Program. Reference for Blood Lead Retesting and Medical Case Management.
• Texas Department of State Health Services, Texas Childhood Lead Poisoning Prevention Program. Reporting Blood Lead Results Electronically Sign-up Form.
• Texas Health Steps. Anticipatory Guidance Provider Guide.
• Texas Health Steps Medical Checkup Periodicity Schedule for Infants, Children and Adolescents.
• Texas Health Steps Child Health Clinical Record Forms.
• Texas Health Steps Provider Outreach Referral Form
• Texas Health and Human Services Commission. Early Childhood Intervention (ECI) Services.
• U.S. Environmental Protection Agency. (2023). Regulations for Lead Emissions from Aircraft.
• U.S. Preventive Services Task Force. (2019). Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation Statement. American Family Physician, 100(8).

Continuing Medical Education (Ethics Accredited)

The Texas Department of State Health Services, Continuing Education Service is accredited by the Texas Medical Association to provide continuing medical education for physicians.

The Texas Department of State Health Services, Continuing Education Service designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course has been designated by The Texas Department of State Health Services, Continuing Education Service for 0.50 credit(s) of education in medical ethics and/or professional responsibility.

Continuing Nursing Education

The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The Texas Department of State Health Services, Continuing Education Service has awarded 0.50 contact hour(s) of Continuing Nursing Education.

Social Workers (Ethics Accredited)

The Texas Department of State Health Services, Continuing Education Service under sponsor number CS3065 has been approved by the Texas State Board of Social Worker Examiners to offer continuing education contact hours to social workers. The approved status of The Texas Department of State Health Services, Continuing Education Service expires annually on December 31. The Texas Department of State Health Services, Continuing Education Service has awarded 0.50 contact hour(s) of Continuing Social Work Education.

This course has been designated by The Texas Department of State Health Services for 0.50 contact hours of education in professional ethics and social work values.

Certified Health Education Specialists

Sponsored by The Texas Department of State Health Services, Continuing Education Service, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 0.50 total entry-level Category I contact education contact hours.

Certified Community Health Worker

The Texas Department of State Health Services, Promotor(a)/Community Health Worker Training and Certification Program has certified this course for 0.50 contact hour(s) of continuing education for Certified Community Health Workers and Community Health Worker Instructors.

Certificate of Attendance

The Texas Department of State Health Services, Continuing Education Service has designated 0.50 hour(s) for attendance.

General Disclosure

One of the requirements of continuing education is disclosure of the following information to the learner:

1. Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
   • Create a Texas Health Steps account.
   • Complete on-line registration process.
   • Thoroughly read the content of the module.
   • Complete the on-line examination.
   • Complete the evaluation.
2. Commercial Support.
   The THSTEPS Web-based Continuing Education Series has received no commercial support.
3. Disclosure of Relevant Financial Relationships.
   The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose.
4. Non-Endorsement Statement.
   Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center.
5. Off-Label Use.
   Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).

The following are policies and definitions of terms related to continuing education disclosure:

The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.

All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.

Glossary of Terms

Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.

Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.

Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).

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