Performance Improvement 2000. Environmental Health


Evaluation of Implementation of New CDC Guidelines on Screening Lead Poisoning

CDC revised its lead screening recommendations in a document published in November 1997: Screening Young Children for Lead Poisoning: Guidance for State and Local Health Officials. The revisions reflected the need to improve the effectiveness of screening as a preventive measure by calling on state and local health officials to develop statewide plans and follow-up care appropriate to local conditions. This study monitored the state planning process, identified states which had made significant progress and how they had managed to do so, and disseminated the information to other states. Central to the study was an examination of state advisory committees: their membership and how they function. The study found that while the committees functioned in a complicated way and were time-consuming, the alternative, making decisions without the involvement of these stakeholders, is a less effective way to build a consensus on lead screening.

AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion


PIC ID: 7045

PERFORMER: Macro International, Inc.
Calverton, MD

Evaluation of State Water Fluoridation Programs Needs to Improve the Quality of Water Fluoridation

The purpose of this task was to evaluate the needs of state water fluoridation programs in order to improve the quality of water fluoridation, nationally. The task assessed the surveillance and monitoring of water fluoridation system, the engineering and administrative aspects of same, and the fluoridation training needs of nine states. Each of these elements were examined for a determination of their effect on the quality of water fluoridation in those states. The majority of respondents indicated that each state had an organized fluoridation program, including fluoridation specialists. Turnover, at the local water system level, is of concern to a significant number of respondents. The majority of respondents indicated that their monitoring and surveillance component of their state fluoridation system is being adequately met. Minimum CDC guidelines are not being met in some states. Training needs were consistently indicated as the greatest need from among respondents in the three groups. Most respondents indicated they would likely use the Fluoridation Reporting System (FRS). The report provides the basis for making recommendations to improve and ensure the quality of state fluoridation programs in the United States. The recommendations from this report are grouped into four areas: infrastructure, monitoring and reporting, training and overall program needs. The results will help determine the future direction of the Division of Oral Health (DOH) in its national role of promoting community water fluoridation.

AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion


PIC ID: 7052

PERFORMER: Macro International, Inc.
Atlanta, GA