Within the context of a City Club of Cleveland event celebrating National Public Health Week, a short course in Lead Poisoning is designed for primary care providers, physicians and nurses, to update the current practices of prevention, screening, and treatment along with a demographic description of the Greater Cleveland lead problem.

Statement of Need

Lead poisoning is still one of the most serious public health concerns facing children in Cuyahoga County.   Rates of childhood lead poisoning are well above 20% in many Cleveland neighborhoods and the City of East Cleveland.  Cleveland’s rate is in the top 5 nationally, with the current U.S. overall rate at under 2%. 

While nationally the rate of childhood lead poisoning has been decreasing, in our community it continues to steal a high proportion of our children’s futures by producing mental deficits and increasing aggressive behavior.  This short course will give the medical professions caring for our children an overview of our local problem along with what preventive measures are being taken, and importantly, it will also provide information on treatment and special education for lead poisoned children.

How do we increase the blood lead screening rate which in Greater Cleveland is only about 50% of what it should be?  What is the latest status of treatment modalities for children with elevated lead levels?  New research suggests that targeted education programs may be able to make major improvements in lead poisoned children.  What local medical and educational resources exist for these children and their physicians? This short course will address these questions and feature one of the nation’s leaders in childhood lead poisoning, Bruce P. Lanphear, MD, MPH.

Participant Learning Objectives:

After attending this course, participants will be able to:

• Describe the distribution in Greater Cleveland of children with elevated blood lead levels
• Identify the proper age for lead screening and know how it is best performed
• Identify the levels of blood lead when children should be referred for treatment
• Describe the lead treatment options of  oral and intravenous chelation
• Identify when lead poisoned children should be referred for special education and know what those community resources are
• Discuss the community wide efforts in Greater Cleveland to eradicate this problem

Keynote Speaker:    Bruce P. Lanphear, MD, MPH

Dr. Lanphear is The Sloan Professor of Children's Environmental Health and the Director of the Cincinnati Children's Environmental Health Center at Cincinnati Children's Hospital Medical Center and the University of Cincinnati.  He is the principal investigator for a NIH/EPA-funded Children's Environmental Health Center to study fetal and early childhood exposures to prevalent environmental neurotoxins, including lead, pesticides, and environmental tobacco smoke. 

Dr. Lanphear is also conducting a randomized controlled trial to test the safety and efficacy of housing repairs to reduce childhood lead exposure and residential injuries in 400 children followed from birth. 

He also serves on the US EPA’s Clear Air Scientific Advisory Committee and is a scientific consultant for the National Center for Healthy Housing.

Dr. Lanphear will review new data on the adverse health effects of childhood lead exposure, review the major sources of childhood lead exposure and discuss the regulations and tools  necessary to shift our focus toward primary prevention.

AGENDA        TUESDAY,  APRIL 4, 2006

10:30    Welcome                   
Matt Carroll & Terry Allan - CDPH, CCBH

10:35    Greater Cleveland’s Lead Problem   
Matt Carroll & Terry Allan - CDPH, CCBH

10:55    When & How to Screen
Bobbi Anderson, CPNP  - MetroHealth Medical Center

11:10    When & How to Chelate
Larry Quang, MD, - Rainbow Babies & Children’s Hosp

11:30    Once Poisoned, Then What?
Melissa Manos, MS - Help-Me-Grow of Cuyahoga Cty

11:50    Questions
-the panel

12:00    Luncheon

12:25    Welcome

12:30    Low-Level Lead Toxicity: The Ongoing Search for a Threshold
Bruce Lanphear, MD, Sloan Professor of Children's Environmental Health and the Director of the Cincinnati Children's Environmental Health Center at Cincinnati Children's Hospital Medical Center and the University of Cincinnati.

1:00    Questions and Comments

1:30    GCLAC:  The Community Plan       
Matt Carroll and Terry Allan - CDPH, CCBH

2:00    Adjourn

FACULTY

Course Director
Dorr G. Dearborn, Ph.D., M.D.               
Mary Ann Swetland Professor of               
Environmental Health Sciences           
Case Western Reserve University

Roberta Anderson, RN, CPNP
Lead Clinic
MetroHealth Medical Center

Lawrence S. Quang, M.D.
Swetland Environmental Health Clinic
Rainbow Babies & Children’s Hospital

Matthew Carroll                       
Interim Director,                       
Cleveland Department of Public Health
                               
Melissa Manos, M.S., M.Ed., M.S.M.
Executive Director
Help Me Grow of Cuyahoga County

Terrence M. Allan, M.P.H.                   
Health Commissioner                       
Cuyahoga County Board of Health
                               
Bruce P. Lanphear, M.D., M.P.H.
Sloan Professor of Children's Environmental Health
Director of the Cincinnati Children's Environmental Health Center
Cincinnati Children's Hospital Medical Center
and the University of Cincinnati

The policy of the Case School of Medicine CME Program (Case) requires that the Activity Director, planning committee members and all activity faculty (that is, anyone in a position to control the content of the educational activity) disclose to the activity participants all relevant financial relationships with commercial interests.  Disclosure will be made to activity participants prior to the commencement of the activity.  Case also requires that faculty make clinical recommendations based on the best available scientific evidence and that faculty identify any discussion of “off-label” or investigational use of pharmaceutical products or medical devices.

Accreditation

The Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Case Western Reserve University School of Medicine designates this educational activity for a maximum of 3.0 AMA PRA Category 1 creditsTM.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurses and sanitarians can also claim CME credits for this educational activity.

Location

The course will be held at The City Club of Cleveland, 850 Euclid Avenue, Cleveland, Ohio.

Registration

Call Case Western Reserve University, Swetland Center for Environmental Health, phone (216) 368-5967 to register for the short course (there is no fee; room is limited).  
Separate registration for the luncheon: The luncheon is $15 for City Club members and students and $25 for non-members.  Reservations are required at least 24 hours in advance.  To register, call The City Club at 216.621.0082 or visit http://www.cityclub.org/content/speakers/SpeakerDetail.aspx?spkID=5311.

More info at http://realneo.us/events/national-public-health-week-event-at-city-club-bruce-p-lanphear-md-mph-on-child-health-mar-2006

Sponsors

St. Luke’s Foundation
Cleveland Dept of Public Health
Cuyahoga County Board of Health
Lutheran Metropolitan Ministry
QualChoice HMO
Swetland Center for Environmental Health, Case School of Medicine

Greater Cleveland Lead Advisory Council

Participant Organizations:
 
211/First Call for Help
Affordable Services, Inc.
African American Women’s Agenda
Atrium Environmental Health & Safety Services
ASM Group LLC
Berea Children’s Home and Family Services
Care Alliance
CareSource
Case Western Reserve University
Center for Community Solutions
City of East Cleveland
City of Lakewood Health Department
City of Lakewood Building Department
Clark Metro Development Corporation
Cleveland ACORN
Cleveland Communities Organized Against Lead
Cleveland Department of Building and Housing
Cleveland Department of Law
Cleveland Department of Public Health
Cleveland Division of Neighborhood Services
Cleveland Division of Workforce Development
Cleveland Empowerment Zone
Cleveland Housing Network
Cleveland Municipal Court
Cleveland Neighborhood Development Corporation
Cleveland State University Great Lakes Environmental Finance Center
Cleveland Tenants Organization
Commission on Catholic Community Action
Community Assessment and Treatment Services
Creative Solutions/Lead Experts
Cuyahoga County Board of Health
Cuyahoga County Citizen Advisory Board
Cuyahoga County Department of Development
Cuyahoga Metropolitan Housing Authority
Environmental Health Watch
Episcopal Diocese of Ohio
Euclid-St. Clair Development Corporation
Help Me Grow of Cuyahoga County
In-Service Training Network
Intergeneration School
Invest in Children
Lutheran Metropolitan Ministry
Mahoning County Healthy Homes/Lead Hazard Control Program
Mahoning County Family and Children First Council
Merrick House
MetroHealth Medical Center
Molecular Tech
Mount Pleasant NOW Development Corporation
National Association of the Remodeling Industry
Northeast Ohio Alliance for Hope
North Coast Ministry
Office of Congresswoman Dennis Kucinich
Office of Congresswoman Stephanie Tubbs Jones
Office of U.S. Senator Mike DeWine
Ohio Department of Health
Ohio Department of Jobs and Family Services
OMEX Development, Inc.
Professional Remodelers of Ohio
QualChoice
R.E.Saffold Association, Inc.
Real Neo
St. Luke’s Foundation of Cleveland
Swetland Center for Environmental Health, Case School of Med
Union Construction Industry Partnership Apprenticeship Skills Achievement Program
Union Miles Development Corporation
United Pastors in Mission
University Hospitals of Cleveland
US Department of Housing and Urban Development
US Environmental Protection Agency
Voices for Children Affected by Lead
Westown Community Development Corporation

Case Continuing Medical Education Program
11100 Euclid Avenue
Cleveland, Ohio  44106-6026

Location