TX CLPPP News, Volume 6, Number 1, Spring 2008 Page: 2 of 8
8 p. : ill. ; 28 cm.View a full description of this periodical.
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A Letter from DSHS to a Medical Provider, continued from page 1
We took composite soil samples from the play area around the house and detached
garage. Laboratory results indicated high lead concentrations in the soil surrounding
the house and detached garage, ranging from 990 - 2850 parts per million (ppm). A
soil-lead hazard from lead-based paint is present when a play area sample of bare soil
is equal to or greater than 400 parts per million (ppm); or in the rest of the yard (i.e.,
non-play areas) when the bare soil sample is equal to or greater than 1,200 ppm. The
contaminated soil surrounding the house and detached garage presents a potential risk
of lead exposure to Julie.
Summary of Recommendations
Based on the answers to the interview questions, observations at the home made by the
lead risk assessor (LRA), and XRF results, we made the following recommendations to
the parent at the time of the visit:
- Use a Department of State Health Services (DSHS) certified lead abatement firm to
do any home lead abatement. A list of DSHS certified lead abatement firms is
available at this web site: www.dshs.state.tx.us/elp.
- Contact the County for available funding for lead abatement.
- Do not allow Julie to eat or put non-food items in her mouth.
- Ensure that Julie washes her hands and face before eating, before bedtime, and after
play.
- Prevent Julie from playing in the bare soil around the house and detached garage.
- Plant grass and bushes where bare soil is located to create a barrier.
- Serve Julie three (3) regular nutritious meals and two (2) snacks including fresh or
dried fruits, vegetables, milk, cheese, meats, and iron-containing cereal. Following
this diet is important because balanced meals with food groups high in calcium, iron,
and vitamin C can reduce the amount of lead that is absorbed.
- Follow recommendations made by the healthcare provider for any blood lead
sampling and follow-up medical care.
DSHS staff is concerned about children's health, and we wish to collaborate with you
to address these issues in controlling sources of lead exposure. If you have additional
questions or need further assistance or information, please contact the Texas Childhood
Lead Poisoning Prevention Program (TX CLPPP) by calling 1-800-588-1248.
Sincerely,
(T%( Sif $#
John Smith, LRA
Texas Department of State Health Services
The Cover Story was taken from an actual Environmental Lead Investigation (ELI)
in Texas. The ELI was completed after the medical provider followed TX CLPPPs
recommended criteria (see table, "Criteria Eligibility for ELI" located on bottom of page 4)
for an ELI. The names of the medical provider, child, and DSHS staff member were all
changed to protect confidientiality.
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Texas. Department of State Health Services. TX CLPPP News, Volume 6, Number 1, Spring 2008, periodical, Spring 2008; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth821511/m1/2/: accessed June 28, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.