Division IV

MEDICAL SERVICES FOR ELEVATED BLOOD LEAD LEVEL CHILDREN

(a) The Director shall develop a case management program so that all elevated blood lead level children receive appropriate services. At a minimum, the services provided by the Director shall include:

(1) For levels 10 to 14 µg/dL: A letter and lead information packet shall be sent to the parent (which encourages retest in three months and gives simple recommendations).

(2) For levels 15 to 19 µg/dL: A Public Health Nurse (PHN) referral shall be made. The PHN shall make a home visit to provide extensive teaching.

(3) For levels 20 µg/dL and above, and levels from 15 to 19 µg/dL in consecutive measurements three to four months apart (a lead-poisoned child): In addition the assigned PHN duties, a certified lead inspector/assessor shall perform an environmental investigation and issue a report of lead hazard findings. The building owner and the Department of Building Inspection shall also receive notice of lead hazard findings which are in the building owner's control.

(b) The Director shall have the authority to establish deadlines and priorities regarding the provision of such services as described in Section 1617(a) to all children with elevated blood lead levels. (Added by Ord. 376-92, App. 12/23/92; amended by Ord. 409-96, App. 10/21/96; Ord. 36-03, File No. 021857, App. 3/28/2003)

The Director shall adopt a program designed to inform parents or guardians of eligible children of the CHDP program and to provide them with an opportunity to join.

(Added by Ord. 376-92, App. 12/23/92)

The Director may develop a program in cooperation with appropriate agencies to make lead-safe housing temporarily available when the Director believes it appropriate to cases of elevated blood lead level children and their families if those families are not able to make arrangements themselves.

(Added by Ord. 376-92, App. 12/23/92; amended by Ord. 409-96, App. 10/21/96)

The Director shall maintain a data management system designed to collect and analyze information regarding elevated blood lead level children, primary prevention and screening activities. (Added by Ord. 376-92, App. 12/23/92; amended by Ord. 409-96, App. 10/21/96)

Every physician and clinical laboratory shall promptly report all results of blood lead tests to the County Health Officer on forms devised by that Officer, and such demographic information as the forms require. (Added by Ord. 376-92, App. 12/23/92)

The Director shall prepare a report every six months in language designed to be understood by the general public describing the results of all lead tests obtained by the Department for San Francisco residents, including the test level, age, sex, ethnicity and general area of residence of each case of childhood lead poisoning. The Director shall prepare the report in those languages that he or she deems appropriate in order to communicate the information effectively. (Added by Ord. 376-92, App. 12/23/92)