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美国疾病控制与预防中心的铅中毒预防计划:长期以来一直致力于保护儿童免受铅暴露的责任和承诺。

CDC's Lead Poisoning Prevention Program: A Long-standing Responsibility and Commitment to Protect Children From Lead Exposure.

机构信息

Lead Poisoning Prevention and Environmental Health Tracking Branch, Division of Environmental Health Science and Practice, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia.

出版信息

J Public Health Manag Pract. 2019 Jan/Feb;25 Suppl 1, Lead Poisoning Prevention(Suppl 1 LEAD POISONING PREVENTION):S5-S12. doi: 10.1097/PHH.0000000000000868.

Abstract

The Centers for Disease Control and Prevention's (CDC's) Childhood Lead Poisoning Prevention Program (CLPPP) serves as the nation's public health leader and resource on strategies, policies, and practices aimed at preventing lead exposure in young children. CDC supports and advises state and local public health agencies and works with other federal agencies and partners to achieve the Healthy People 2020 objective of eliminating childhood lead exposure as a public health concern. Primary prevention-the removal of lead hazards from the environment before a child is exposed-is the most effective way to ensure that children do not experience the harmful effects of lead exposure. Blood lead screening tests and secondary prevention remain an essential safety net for children who may be exposed to lead. CDC's key programmatic strategy is to strengthen blood lead surveillance by supporting state and local programs to improve blood lead screening test rates, identify high-risk populations, and ensure effective follow-up for children with elevated blood lead levels. Surveillance plays a central role in helping measure the collective progress of federal, state, and local public health agencies in protecting children from lead, as well as enhancing our ability to target population-based interventions for primary prevention to those areas at highest risk. The CDC CLPPP has been at the front line of efforts to protect children from lead exposure and the resulting adverse health effects over the last 3 decades. As we chart our path for the future, we will continue to learn from past successes and challenges, incorporate new evidence and lessons learned, and work closely with federal, state, local, and nonprofit partners, experts in academia, and the community to advance the overarching goal of eliminating lead exposure in children.

摘要

美国疾病控制与预防中心(CDC)的儿童铅中毒预防计划(CLPPP)是国家公共卫生领域的领导者和资源,负责制定旨在预防幼儿铅暴露的策略、政策和实践。CDC 支持和为州和地方公共卫生机构提供建议,并与其他联邦机构和合作伙伴合作,实现 2020 年健康人目标,消除儿童铅暴露这一公共卫生问题。初级预防——在儿童接触铅之前消除环境中的铅危害——是确保儿童免受铅暴露有害影响的最有效方法。血液铅筛查测试和二级预防仍然是暴露于铅的儿童的重要安全网。CDC 的主要计划策略是通过支持州和地方计划来加强血液铅监测,以提高血液铅筛查测试率、确定高危人群,并确保对血液铅水平升高的儿童进行有效随访。监测在帮助衡量联邦、州和地方公共卫生机构在保护儿童免受铅污染方面的集体进展方面发挥着核心作用,并增强了我们针对高危人群进行初级预防的基于人群的干预措施的靶向能力。在过去的 30 年里,CDC 的 CLPPP 一直处于保护儿童免受铅暴露及其带来的不良健康影响的努力的前沿。在为未来规划路线时,我们将继续从过去的成功和挑战中吸取经验,纳入新的证据和经验教训,并与联邦、州、地方和非营利合作伙伴、学术界专家以及社区密切合作,推进消除儿童铅暴露这一总体目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ec0/6320665/5a68c778ed2d/nihms-1002014-f0001.jpg

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本文引用的文献

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Pediatrics. 2016 Jul;138(1). doi: 10.1542/peds.2016-1493. Epub 2016 Jun 20.
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Lead intoxication in children. Diagnosis and treatment.儿童铅中毒。诊断与治疗。
Postgrad Med. 1971 Dec;50(6):133-8. doi: 10.1080/00325481.1971.11697703.

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