Wayne Salter, Health and Human Services Commissioner | North Dakota Department of Health and Human Services
Wayne Salter, Health and Human Services Commissioner | North Dakota Department of Health and Human Services
Lead exposure remains a concern for young children and pregnant women, according to the North Dakota Health and Human Services (HHS). During National Lead Poisoning Prevention Week, observed from October 19 to 25, HHS is working with local public health partners to inform the public about the risks of lead poisoning and methods for prevention.
"Children younger than age six are most vulnerable to the effects of lead exposure – especially infants and toddlers who often put their hands or other objects in their mouths. Lead exposure can impact a child’s growth and development and contribute to long-term learning issues, behavioral problems and lowered IQ," HHS stated.
The department has created an online resource page with information on lead poisoning, including a data brief and resources for prevention. In addition, HHS is piloting educational curriculum aimed at elementary-age children about lead safety and healthy habits.
Individuals living in homes built before 1978 face higher risk due to the historical use of lead-based paint. The North Dakota Housing Finance Agency’s 2024 housing study found that nearly half of houses in the state were constructed before the 1970s. Children may be exposed by ingesting or inhaling dust or particles from deteriorating painted surfaces inside or outside these older homes.
Other sources of lead include contaminated soil, drinking water affected by old pipes or plumbing fixtures, imported foods, spices, toys made abroad, as well as certain hobbies or jobs involving materials containing lead. The Centers for Disease Control and Prevention notes these as common routes of exposure. Parents are advised to monitor product recalls through the Consumer Product Safety Commission website.
To reduce risk, HHS recommends frequent handwashing for children; regular cleaning of toys, bottles, pacifiers; wet-mopping floors; wiping windowsills; using certified contractors for home repairs; removing shoes indoors; changing clothes after work involving potential contact with lead; showering after such work; washing work clothes separately; and maintaining a diet rich in vitamin C, iron, and calcium.
Testing remains key in identifying exposure early. "A blood test, often involving a fingertip prick, is the best way to know if a child has been exposed to lead. For this reason, HHS encourages parents to talk to their child’s health care provider about getting their child tested during routine wellness visits. Based on blood lead test results, health care providers can recommend follow-up actions and care," said HHS.
North Dakota Medicaid covers screening for children at ages 12 months and 24 months during wellness visits. Children between ages three and six who have not previously been screened are also required to receive testing if they are Medicaid members. More information on Medicaid wellness visits is available at hhs.nd.gov/health-tracks.

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