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Childhood Environmental Health Figure 28: Percent of NC Children tested for Lead Poisoning Lead Hazards Assessment for Risk of Exposure Lead poisoning re- PerCentofNC Children Tested for Lead POlsordng,Iard2Year-olds mains a principle environmental concern for young chil- 55 dren. Universal blood lead testing is strongly encour- aged at 12 months and again at 24 months of age, and 45 testing for all immigrant children is recommended at the 40 time of arrival to the U.S. While exposure to lead was 35 once thought to be related to paint and older housing, %30 25 lead exposure through behaviors must also be assessed. �Perm � u 1 Tested --Percent ug/d L,unmOrmed 20 L,unwnfirme A case is confirmed when two consecutive blood lead 15 Percent>=5 ugld d test results, within a 12-month period are: <5 pg/dL = 10 below the reference value, 5-9 pg/dL = elevated blood s lead (EBL), >_10 pg/dL = confirmed lead poisoning. 0 �{ p 1e 101* 4,le'L _llp41ti le'L�'t'l� �l'Lo.O'L 'L�.1't.vo.Y','Lo.YP'Lo�ti'Loyb 4_1 Lead exposure is especially harmful to children under Y rrarTesne six years of age due to their constant hand-to-mouth activity. Lead exposure of women of child-bearing age Environmental Health Activities (2015-2019) can also adversely affect developing fetuses during pregnancy, which has resulted in the emphasis on test- • Radon testing kits are provided during Radon Month ing pregnant women. awareness campaigns. The Childhood Lead Poisoning Prevention Program • Trainings with housing, inspection, and healthy home tracks the number and rate of children in the target community partners and advocates on mold identifi- populations who are required to be screened for blood cation and mold remediation lead levels. Orange County Environmental Health con- ducts lead investigation on all child-occupied facilities • Consistent monitoring of environmental trends in the (schools and childcare centers) that were constructed media to anticipate the public's demands for infor- prior to 1978 and averages 4 -5 lead investigations in the mation, referrals, or sampling. homes and secondary premises of lead poisoned chil- dren identified through lead screening. Orange County • Consistent work with the Rogers Road Community Environmental Health has a certified Lead Assessor on to resolve well and water quality issues. Three wells staff as well as a bilingual staff person authorized to that needed replacement were investigated, permit- conduct lead investigations. ted, inspected, and sampled. • Received grant funds to implement a vector control program that allowed staff to receive training, licen- sure, and supplies to respond to mosquito related public health emergencies. Table 20: Childhood Lead Poisoning Prevention Program16 .1M=== Number of Children Tested (age Birth - 6yo) 1,263 1,291 1,448 1,228 5-9 Ng/dL 4 3 3 3 10-19 fag/dL 1 2 2 1 >20 Ng/dL 1 0 0 0 2019 COMMUNITY HEALTH ASSESSMENT 43