Nebraska | Childhood Lead Poisoning Prevention

<!DOCTYPE html> <html lang="en-us" class="cdc-theme-cdc cdc-page-type--content" > <head> <meta charset="UTF-8" /> <meta http-equiv="X-UA-Compatible" content="IE=Edge" /> <meta content="width=device-width, initial-scale=1, shrink-to-fit=no" name="viewport" /> <meta name="mobile-web-app-capable" content="yes" /> <meta name="apple-mobile-web-app-capable" content="yes" /> <link rel="apple-touch-icon" sizes="180x180" href="/TemplatePackage/5.0/img/favicon/apple-touch-icon.png"> <link rel="icon" type="image/png" sizes="32x32" href="/TemplatePackage/5.0/img/favicon/favicon-32x32.png"> <link rel="icon" type="image/png" sizes="16x16" href="/TemplatePackage/5.0/img/favicon/favicon-16x16.png"> <link rel="mask-icon" href="/TemplatePackage/5.0/img/favicon/safari-pinned-tab.svg" color="#0056b3"> <meta name="msapplication-TileColor" content="#0056b3"> <meta name="theme-color" content="#0056b3"> <link rel="stylesheet prefetch" href="/TemplatePackage/5.0/css/app.min.css?_=79008" /> <link rel="stylesheet" media="print" href="/TemplatePackage/5.0/css/print.min.css?_=79008" /> <link rel="manifest" href="/TemplatePackage/5.0/json/manifest.json"> <script src="https://www.cdc.gov/JScript/metrics/topic_levels.js?_=16174"></script> <script src="https://www.cdc.gov/JScript/metrics/adobe/launch/b36c1852e229/2c674008a127/launch-04da70ea688d.min.js?_=16174"></script> <meta property="cdc:template_version" content="5.0"/> <title>Nebraska | Childhood Lead Poisoning Prevention | CDC</title> <meta name="description" content="Learn more about Childhood Lead Poisoning Prevention Success Stories in Nebraska."/> <meta property="og:type" content="article"/> <meta property="og:title" content="Nebraska"/> <meta property="og:url" content="https://www.cdc.gov/lead-prevention/success-stories-by-state/nebraska.html"/> <meta property="og:description" content="Learn more about Childhood Lead Poisoning Prevention Success Stories in Nebraska."/> <meta property="fb:app_id" content="205691699516606"/> <meta property="og:site_name" content="Childhood Lead Poisoning Prevention"/> <meta property="og:author" content="CDC"/> <meta property="og:image" content="https://www.cdc.gov/lead-prevention/media/images/2024/04/Nebraska_1.jpg?_=98088"/> <meta property="og:image:type" content="image/jpeg"/> <meta property="og:updated_time" content="2024-10-09T13:09:41-04:00"/> <meta property="article:author" content="CDC"/> <meta name="twitter:card" content="summary"/> <meta name="twitter:title" content="Nebraska"/> <meta name="twitter:url" content="https://www.cdc.gov/lead-prevention/success-stories-by-state/nebraska.html"/> <meta name="twitter:description" content="Learn more about Childhood Lead Poisoning Prevention Success Stories in Nebraska."/> <meta name="twitter:site" content="@CDCgov"/> <meta name="twitter:creator" content="@CDCgov"/> <meta name="twitter:image:src" content="https://www.cdc.gov/lead-prevention/media/images/2024/04/Nebraska_1.jpg?_=98088"/> <meta name="robots" content="index, archive" /> <meta property="cdc:first_published" content="May 15, 2024"/> <meta property="cdc:last_updated" content="January 31, 2024"/> <meta property="cdc:last_reviewed" content="April 30, 2024"/> <meta property="cdc:content_source" content=""/> <meta property="cdc:maintained_by" content=""/> <meta property="cdc:content_id" content="488" /> <meta property="cdc:build" content="4188" /> <meta property="cdc:version" content="4.24.9" /> <meta property="cdc:page_type" content="cdc_dfe" /> <meta property="cdc:page_origin" content="dfe"/> <link rel="canonical" href="https://www.cdc.gov/lead-prevention/success-stories-by-state/nebraska.html"/> <meta property="cdc:wcms_build" content="4.24.9 - b.4188" /> <meta name="DC.date" content="2024-10-09T13:09:41Z" /> <meta name="cdc:last_published" content="2024-10-09T14:47:05Z" /> <meta property="cdc:dfe_version" content="0.3"/> <meta property="cdc:dfe_content_type" content="cdc_generic"/> <meta property="cdc:dfe_content_type_version" content="1.2.4"/> </head> <body class="no-js cdc-post-type--cdc-dfe cdc-dfe-cdc_generic"> <div id="skipmenu"> <a class="visually-hidden-focusable" href="#content">Skip directly to site content</a> <a class="visually-hidden-focusable" href="#cdc-search">Skip directly to search</a> </div> <div class="cdc-page-banner container noindex"> <div class="row cdc-site-gov-notice noindex noprint" aria-label="Official website of the United States government"> <div class="col-lg-11"> <div> <img aria-hidden="true" class="usa-banner__header-flag" src="/TemplatePackage/5.0/img/uswds/us_flag_small.png" alt="U.S. flag" width="16" height="11"> <span>An official website of the United States government</span> </div> <span> <a data-bs-toggle="collapse" href="#gov-notice" role="button" aria-expanded="false" aria-controls="gov-notice"> Here's how you know <span class="cdc-fa-angle-down" aria-hidden="true"></span> </a> </span> </div> <div class="collapse" id="gov-notice" aria-hidden="true"> <div class="row"> <div class="col-12 col-lg-6"> <img src="/TemplatePackage/5.0/img/uswds/icon-dot-gov.svg" alt="" aria-hidden="true"> <div> <b>Official websites use .gov</b> <p>A .gov website belongs to an official government organization in the United States.</p> </div> </div> <div class="col-12 col-lg-6"> <img src="/TemplatePackage/5.0/img/uswds/icon-https.svg" alt="" aria-hidden="true"> <div> <b>Secure .gov websites use HTTPS</b> <p>A <strong>lock</strong> ( <i class="cdc-icon-lock-01" aria-hidden="true"></i> ) or <strong>https://</strong> means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.</p> </div> </div> </div> </div> </div> <div data-cdc-site-alert></div> </div> <header class="container cdc-header noindex" role="banner">  <div class="cdc-header__desktop"> <div class="cdc-page-offset"> <div class="cdc-header__cdc-logo"> <a href="https://www.cdc.gov"> <img src="/TemplatePackage/5.0/img/logo/logo-notext.svg" alt="Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People" /> </a> </div> <div class="cdc-header__body"> <div class="cdc-header__title"> <a href="/lead-prevention/about/index.html"> Childhood Lead Poisoning Prevention </a> </div> <div class="cdc-header__components">  <div class="cdc-header__menu"> <button class="btn btn-outline-white btn-arrow-down btn-fancy" id="megaButton"> Explore Topics </button> </div> <form action="https://search.cdc.gov/search/" method="GET" class="cdc-header__search" role="search" data-search-input> <a href="#" id="cdc-search__toggle">Search</a> <div class="input-group cdc-header__search__group"> <button class="btn" type="submit" id="cdc-search__submit"><span class="cdc-fa-magnifying-glass"><span class="visually-hidden">Search</span></span></button> <input class="form-control" data-search-input autocomplete="off" type="search" name="query" id="cdc-search__input" maxlength="300" placeholder="Search"> <button class="btn" type="button" id="cdc-search__clear"><span class="cdc-icon-close"><span class="visually-hidden">Clear Input</span></span></button> </div> </form> </div> </div> </div> </div> <div class="cdc-megamenu" role="navigation"> <div class="cdc-megamenu__cols cdc-page-offset" role="menu"> <div class="cdc-megamenu__col" data-audience="gen"> <div class="cdc-megamenu__heading"> <a role="menuitem" href="/lead-prevention/site.html#gen"> <span>For Everyone</span> <span></span> </a> </div> <div class="cdc-megamenu__links"> <ul class="list-unstyled" role="menu"> <li role="menuitem" class="truncate"> <a data-post-id="325" href="/lead-prevention/about/index.html"> About </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="564" href="/lead-prevention/symptoms-complications/index.html"> Symptoms and Complications </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="368" href="/lead-prevention/testing/index.html"> Testing </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="330" href="/lead-prevention/risk-factors/index.html"> People at Increased Risk and Childhood Lead Poisoning </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="326" href="/lead-prevention/prevention/index.html"> Reducing Your Risk </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="128" href="/lead-prevention/communication-resources/index.html"> Communication Resources and Tools </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="597" href="/lead-prevention/news/index.html"> News and Features </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="4254" href="/lead-prevention/community-stories/index.html"> Lead-Free Communities Initiative </a> </li> <li role="menuitem"> <a href="/lead-prevention/site.html#gen" class="cdc-megamenu-all"> View all </a> </li> </ul> </div> </div> <div class="cdc-megamenu__col" data-audience="hcp"> <div class="cdc-megamenu__heading"> <a role="menuitem" href="/lead-prevention/site.html#hcp"> <span>Health Care Providers</span> <span></span> </a> </div> <div class="cdc-megamenu__links"> <ul class="list-unstyled" role="menu"> <li role="menuitem" class="truncate"> <a data-post-id="139" href="/lead-prevention/hcp/clinical-guidance/index.html"> Blood Lead Level Guidance </a> </li> <li role="menuitem"> <a href="/lead-prevention/site.html#hcp" class="cdc-megamenu-all"> View all </a> </li> </ul> </div> </div> <div class="cdc-megamenu__col" data-audience="php"> <div class="cdc-megamenu__heading"> <a role="menuitem" href="/lead-prevention/site.html#php"> <span>Public Health</span> <span></span> </a> </div> <div class="cdc-megamenu__links"> <ul class="list-unstyled" role="menu"> <li role="menuitem" class="truncate"> <a data-post-id="607" href="/lead-prevention/php/guidelines/index.html"> Guidelines </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="686" href="/lead-prevention/php/laboratory/index.html"> Laboratory Considerations </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="1490" href="/lead-prevention/php/trainings/index.html"> Training </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="663" href="/lead-prevention/php/policy-resources/index.html"> Policy Resources </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="666" href="/lead-prevention/php/scientific-publications/index.html"> Scientific Publications </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="690" href="/lead-prevention/php/data/index.html"> Data and Statistics </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="667" href="/lead-prevention/php/lead-advisory-committee/index.html"> Lead Advisory Committees </a> </li> <li role="menuitem" class="truncate"> <a data-post-id="685" href="/lead-prevention/php/nlppw/index.html"> National Lead Poisoning Prevention Week </a> </li> <li role="menuitem"> <a href="/lead-prevention/site.html#php" class="cdc-megamenu-all"> View all </a> </li> </ul> </div> </div> </div> <div class="cdc-megamenu__footer"> <div class="col cdc-page-offset"> <div class="cdc-megamenu-footer-item cdc-megamenu-footer-item--left"> </div> <div class="cdc-megamenu-footer-item cdc-megamenu-footer-item--right"> <a href="/lead-prevention/site.html" class="btn btn-outline-blue site-index-link"> View All </a> </div> </div> </div> </div> <div class="cdc-header-mobile"> <div class="cdc-header-mobile__top"> <a href="https://www.cdc.gov"> <img src="/TemplatePackage/5.0/img/logo/logo-notext.svg" class="cdc-logo-mobile" alt="Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People" /> </a> <div class="cdc-header-mobile__buttons"> <a href="#" class="search-link"> <i class="cdc-fa-regular cdc-fa-magnifying-glass"><span class="visually-hidden">search</span></i> <i class="cdc-fa-regular cdc-fa-xmark"><span class="visually-hidden">close search</span></i> </a> <div class="cdc-mobile-menu-search"> <form action="https://search.cdc.gov/search/" method="GET" id="cdc-mobile-search" role="search" data-search-input> <div class="input-group"> <button class="btn btn-outline-secondary btn--search" type="button"><i class="cdc-fa-light cdc-fa-magnifying-glass"></i><span class="visually-hidden">search</span></button>  <input class="form-control" data-search-input type="search" name="query" id="cdc-mobile-menu-search__input" maxlength="300" placeholder="Search" required="" tabindex="-1" data-search-input> </div> </form> </div> </div> </div> <div class="cdc-header-mobile__title dropdown "> <a href="/lead-prevention/about/index.html">Childhood Lead Poisoning Prevention</a> <a href="#" id="mobileDropDownButton" class="nav-link dropdown-toggle" data-mobile-toggle="open" data-bs-toggle="dropdown" data-bs-offset="0,20"> <span class="open">Menu <i class="cdc-fa-angle-down"></i></span> <span class="close">Close <i class="cdc-icon-close"></i></span> </a> <div class="dropdown-menu cdc-mobile-menu" role="menu" aria-labelledby="mobileDropDownButton"> <div class="cdc-mobile-menu-search"> <form action="https://search.cdc.gov/search/" method="GET" id="cdc-mobile-search" role="search" data-search-input> <div class="input-group"> <button class="btn btn-outline-secondary btn--search" type="button"><i class="cdc-fa-light cdc-fa-magnifying-glass"></i><span class="visually-hidden">search</span></button>  <input class="form-control" data-search-input type="search" name="query" id="cdc-mobile-menu-search__input" maxlength="300" placeholder="Search" required="" tabindex="-1" data-search-input> </div> </form> </div> <div class="cdc-mobile-menu-body"> <div class="cdc-mobile-audience accordion"> <div class="accordion-item" data-audience="gen"> <div class="accordion-header"> <button class="accordion-button" aria-expanded="false" type="button" data-bs-toggle="collapse" data-bs-target="#mobilemenu-gen"> <span class="accordion-button__text"> For Everyone </span> </button> </div> <div class="accordion-collpase collapse" id="mobilemenu-gen"> <div class="accordion-body"> <ul> <li class="truncate"> <a data-post-id="325" href="/lead-prevention/about/index.html"> About </a> </li> <li class="truncate"> <a data-post-id="564" href="/lead-prevention/symptoms-complications/index.html"> Symptoms and Complications </a> </li> <li class="truncate"> <a data-post-id="368" href="/lead-prevention/testing/index.html"> Testing </a> </li> <li class="truncate"> <a data-post-id="330" href="/lead-prevention/risk-factors/index.html"> People at Increased Risk and Childhood Lead Poisoning </a> </li> <li class="truncate"> <a data-post-id="326" href="/lead-prevention/prevention/index.html"> Reducing Your Risk </a> </li> <li class="truncate"> <a data-post-id="128" href="/lead-prevention/communication-resources/index.html"> Communication Resources and Tools </a> </li> <li class="truncate"> <a data-post-id="597" href="/lead-prevention/news/index.html"> News and Features </a> </li> <li class="truncate"> <a data-post-id="4254" href="/lead-prevention/community-stories/index.html"> Lead-Free Communities Initiative </a> </li> <li> <span class="item-link item-link--all"> <a href="/lead-prevention/site.html#gen"> View All </a> </span> </li> </ul> </div> </div> </div> <div class="accordion-item" data-audience="hcp"> <div class="accordion-header"> <button class="accordion-button" aria-expanded="false" type="button" data-bs-toggle="collapse" data-bs-target="#mobilemenu-hcp"> <span class="accordion-button__text"> Health Care Providers </span> </button> </div> <div class="accordion-collpase collapse" id="mobilemenu-hcp"> <div class="accordion-body"> <ul> <li class="truncate"> <a data-post-id="139" href="/lead-prevention/hcp/clinical-guidance/index.html"> Blood Lead Level Guidance </a> </li> <li> <span class="item-link item-link--all"> <a href="/lead-prevention/site.html#hcp"> View All </a> </span> </li> </ul> </div> </div> </div> <div class="accordion-item" data-audience="php"> <div class="accordion-header"> <button class="accordion-button" aria-expanded="false" type="button" data-bs-toggle="collapse" data-bs-target="#mobilemenu-php"> <span class="accordion-button__text"> Public Health </span> </button> </div> <div class="accordion-collpase collapse" id="mobilemenu-php"> <div class="accordion-body"> <ul> <li class="truncate"> <a data-post-id="607" href="/lead-prevention/php/guidelines/index.html"> Guidelines </a> </li> <li class="truncate"> <a data-post-id="686" href="/lead-prevention/php/laboratory/index.html"> Laboratory Considerations </a> </li> <li class="truncate"> <a data-post-id="1490" href="/lead-prevention/php/trainings/index.html"> Training </a> </li> <li class="truncate"> <a data-post-id="663" href="/lead-prevention/php/policy-resources/index.html"> Policy Resources </a> </li> <li class="truncate"> <a data-post-id="666" href="/lead-prevention/php/scientific-publications/index.html"> Scientific Publications </a> </li> <li class="truncate"> <a data-post-id="690" href="/lead-prevention/php/data/index.html"> Data and Statistics </a> </li> <li class="truncate"> <a data-post-id="667" href="/lead-prevention/php/lead-advisory-committee/index.html"> Lead Advisory Committees </a> </li> <li class="truncate"> <a data-post-id="685" href="/lead-prevention/php/nlppw/index.html"> National Lead Poisoning Prevention Week </a> </li> <li> <span class="item-link item-link--all"> <a href="/lead-prevention/site.html#php"> View All </a> </span> </li> </ul> </div> </div> </div> </div> </div> <div class="cdc-mobile-menu-footer"> <a href="/lead-prevention/site.html"> <span> View All </span> <span>Childhood Lead Poisoning Prevention</span> </a> </div> </div> </div> <div class="cdc-header-mobile__faux-title" aria-hidden="true"> </div> </div> <div class="cdc-mobile-navbar"> <div class="cdc-mobile-navbar__paging"> </div> <div class="cdc-mobile-navbar__links" tabindex="-1"> <a data-post-id="325" href="/lead-prevention/about/index.html" tabindex="0"> About </a> <a data-post-id="564" href="/lead-prevention/symptoms-complications/index.html" tabindex="0"> Symptoms and Complications </a> <a data-post-id="368" href="/lead-prevention/testing/index.html" tabindex="0"> Testing </a> <a data-post-id="330" href="/lead-prevention/risk-factors/index.html" tabindex="0"> People at Increased Risk and Childhood Lead Poisoning </a> <a data-post-id="326" href="/lead-prevention/prevention/index.html" tabindex="0"> Reducing Your Risk </a> <a data-post-id="128" href="/lead-prevention/communication-resources/index.html" tabindex="0"> Communication Resources and Tools </a> <a data-post-id="597" href="/lead-prevention/news/index.html" tabindex="0"> News and Features </a> <a data-post-id="4254" href="/lead-prevention/community-stories/index.html" tabindex="0"> Lead-Free Communities Initiative </a> <a class="view-all" href="/lead-prevention/site.html"> View All </a> </div> </div> </header> <main class="container cdc-main" role="main" aria-label="Main Content Area"> <section class="cdc-page-title-bar cdc-page-offset noindex"> <time class="cdc-page-title-bar__item cdc-page-title-bar__item--date" datetime="2024-04-30 04:00:00"> April 30, 2024 </time> </section> <div class="cdc-page-title cdc-page-offset syndicate"> <h1>Nebraska</h1> </div> <div id="content" class="cdc-page-content cdc-page-offset syndicate container"> <div class="cdc-dfe-body "> <div class="cdc-dfe-body__top "> <div class="dfe-section dfe-section--page-summary summary-blurb summary-paragraph" data-section="cdc_generic_summary"> <div class="dfe-section__header"> <h2 class="editor-block--title" id="heading-smou95943m">At a glance</h2> </div> <div class="dfe-section__content"> <p>CDC supports Nebraska and other state and local health departments, or their bona fide agents, through cooperative agreements to support childhood lead poisoning prevention activities. Read about the program's successes.</p> <div class="dfe-section__nav hide" id="dfe-section__nav"> <div class="dfe-section__nav__header" id="dfe-section__nav__header"> </div> <div class="dfe-section__nav-links" id="dfe-section__nav-links"> </div> </div> </div> <div class="dfe-section__image" id="page-summary-image"> <figure class="dfe-image dfe-image__large"><div class="image-container fluid aspect-ratio-16-9 stretch"><img src="/lead-prevention/media/images/2024/04/Nebraska_1.jpg" alt="Sign saying Welcome to Nebraska, the Cornhusker State" title="Nebraska"></div></figure> </div> <div id="nav-buttons"> </div> </div> </div> <div class="cdc-dfe-body__center "> <div class="dfe-section" data-section="cdc_generic_section_1"> <a class="onThisPageAnchor" id="cdc_generic_section_1-about-the-program" name="About%20the%20program" title="About the program"></a><h2 class="editor-block--title" id="heading-xzh2axghcm">About the program</h2> <p>The State of Nebraska received $515,000 through cooperative agreement EH21-2102 from the Centers for Disease Control and Prevention (CDC) in the third funding year. The funds address childhood lead poisoning prevention and surveillance programmatic activities being conducted from September 30, 2023, to September 29, 2024.<br></p> <p><a href="https://dhhs.ne.gov/Pages/Lead.aspx" class="tp-link-policy" rel="noreferrer" data-domain-ext="gov">Nebraska Department of Health and Human Services<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a></p> <p>P.O. Box 95026</p> <p>Lincoln, Nebraska 68509-5026</p> <p>Phone: 888-242-1100, ext. 3</p> <div class="dfe-block dfe-callout dfe-callout--standard"><div class="dfe-callout__icon" aria-hidden="true" role="img"></div> <h3>Highlights&lrm;</h3> <div class="dfe-callout__body"><div class="callout-desc">Success stories for this funding cycle, September 30, 2021–September 29, 2026, are below.</div> </div></div> </div> <div class="dfe-section" data-section="cdc_generic_section_4"> <a class="onThisPageAnchor" id="cdc_generic_section_4-success-story-funding-year-3" name="Success%20story:%20funding%20year%203" title="Success story: funding year 3"></a><h2 class="editor-block--title" id="heading-acgmz3x6sr">Success story: funding year 3</h2> <h3 id="heading-qupsovcvkd">Improving blood lead case investigation data quality in Nebraska</h3> <h4 id="heading-k9bmf2d5hz">Challenge</h4> <p>Childhood blood lead surveillance provides a vital source of evidence for guiding action. Blood lead surveillance identifies and tracks key health indicators in addition to critical demographic metrics including race, ethnicity, county, and ZIP Code. Surveillance data are instrumental in providing essential services like case management, identifying high risk ZIP Codes for enhanced testing activities, and for analyzing and evaluating trends that guide funding for key interventions. However, persistent data quality issues in Nebraska hinder public health efforts. These issues include inaccurate and incomplete patient records, duplicate entries, and inconsistent data from various institutional systems.</p> <h4 id="heading-hf9a_ztbmi">Intervention</h4> <p>During 2021 through 2023, the Nebraska Lead Poisoning Prevention Program (NeCLPPP) initiated a multi-step process to improve the quality of data collected for cases of children with blood lead levels (BLLs) at or above the blood lead reference value (BLRV). The initial step involved training lead poisoning investigators on the required fields to complete during blood lead case investigations in the Nebraska Electronic Disease Surveillance System (NEDSS). To achieve this, the program delivered annual and onboarding training sessions for new local health department staff. Additionally, the program implemented weekly reviews of new blood lead case investigations to identify missing data fields. Investigators received reminders if any required fields were incomplete.</p> <p>Furthermore, NeCLPPP created a quarterly data quality analysis program to assess the completeness of ZIP Code, county, race, and ethnicity data for cases; produced a quarterly list of investigations with missing data; and cross-checked records with missing data with other data sources, such as the state's immunization registry and a statewide health information exchange, to find and complete missing information.</p> <h4 id="heading-mtuapp8p2d">Impact</h4> <p>These interventions resulted in improvements in data completeness across critical fields in blood lead case investigations from 2021 to 2023. Specifically, data completeness increased for county of residence from 65% to 99%, race from 65% to 98%, ethnicity from 38% to 96%, and ZIP Code from 99% to 100%. More complete data facilitate enhance accuracy and provide a better understanding of demographic and geographic trends. NeCLPPP continues to evaluate and enhance its efforts to improve surveillance data quality. </p> <p><em>Funding for this work was made possible in part by NUE2EH001419 from the Centers for </em><em>Disease Control and Prevention (CDC). The views expressed in this material do not necessarily </em><em>reflect the official policies of CDC; nor does mention of trade names, commercial practices, </em><em>or organizations imply endorsement by the U.S. Government.</em></p> </div> <div class="dfe-section" data-section="cdc_generic_section_2"> <a class="onThisPageAnchor" id="cdc_generic_section_2-success-story-funding-year-2" name="Success%20story:%20funding%20year%202" title="Success story: funding year 2"></a><h2 class="editor-block--title" id="heading-l-h1lzdz8p">Success story: funding year 2</h2> <h3 id="heading-u7rawjzznc">Increasing electronic blood lead reporting in Nebraska</h3> <h4 id="heading-fkjiyfudzl">Challenge</h4> <p>While most blood lead laboratory results are reported electronically in Nebraska, approximately 20% are reported by fax or mail. Laboratory reports submitted via automated electronic reporting are more quickly entered into the surveillance system and allow local public health departments to start case management in an efficient timeframe. Annually, thousands of blood lead laboratory reports must be entered manually, which slows response time for follow-up testing and case management.</p> <h4 id="heading-dgxont1kfi">Intervention</h4> <p>To increase electronic reporting among clinics and providers that use point-of-care devices, the Nebraska Department of Health and Human Services (NDHHS) Nebraska Childhood Lead Poisoning Prevention Program (NECLPPP) started a three-phase intervention. Phase I adapted the Nebraska COVID-19 Laboratory Results Upload Portal to facilitate the use of alternate reporting methods for blood lead results using file formats such as CSV, XLS, and XLSX. Phase II involves enhancing the portal's user interface and data quality flagging. Phase III involves expanding the use of the application portal across the state of Nebraska.</p> <p>Phase I was completed in the summer of 2022. NECLPPP partnered with Douglas County, a large county health department, to pilot the Laboratory Results Upload Portal in May 2022. The initial goal focused on five facilities, which include Women Infants and Children (WIC) clinics, Federally Qualified Health Centers (FQHCs), and family medicine clinics.</p> <h4 id="heading-z_kitjcoqh">Impact</h4> <p>At the end of Phase I, 14 facilities were engaged in electronically uploading data, which included four WIC clinics, two FQHCs, and eight family medicine clinics that predominately serve Black, Hispanic, and low-income individuals in communities that are served by these clinics.</p> <p>In 2022, there was an 8% increase in electronic blood lead laboratory reporting due to the upload project. During January–September 2022, the Laboratory Results Upload Portal uploaded 2,649 blood lead laboratory results (2,578 capillary and 71 venous laboratory results) into Nebraska's surveillance system. Of those 2,649 laboratory results, 189 were at or above the blood lead reference value of 3.5 μg/dL, which resulted in prompt case management and confirmatory/follow-up testing recommendations. Due to the success of Phase I, NECLPPP plans to onboard additional clinics for electronic reporting with the goal of eliminating fax and paper reporting. NECLPPP will begin Phases II and III by October 2023.</p> <p><em>Funding for this work was made possible in part by NUE2EH001419 from the Centers for </em><em>Disease Control and Prevention (CDC). The views expressed in this material do not necessarily </em><em>reflect the official policies of the CDC; nor does mention of trade names, commercial practices, </em><em>or organizations imply endorsement by the U.S. Government.</em></p> </div> <div class="dfe-section" data-section="cdc_generic_section_3"> <a class="onThisPageAnchor" id="cdc_generic_section_3-success-story-funding-year-1" name="Success%20story:%20funding%20year%201" title="Success story: funding year 1"></a><h2 class="editor-block--title" id="heading-6w-fwdkteo">Success story: funding year 1</h2> <h3 id="heading-x8be-wae0p">Establishing case management protocol with existing resources in Nebraska</h3> <h4 id="heading-wnngx2etd-">Challenge</h4> <p>It's estimated that one-third of Nebraska's housing stock was built before 1978 and contains lead-based paint. Low-income and minority children are particularly at risk for lead exposure and lead poisoning, as they are more likely to live in older housing. Early identification of lead-exposed children and prompt linkages to supportive services are critical to reducing lead poisoning's detrimental effects. Case management for lead-exposed children is key to monitoring compliance with blood lead testing, medical follow-up, medical treatment, and referral to early intervention services. While the Nebraska Department of Health and Human Services has collaborative arrangements with local health departments across the state to provide follow-up for lead-exposed children, some children need more intensive clinical case management above the local health department's capacity.</p> <h4 id="heading-8iyro4csep">Intervention</h4> <p>Nebraska has a robust Medicaid-managed care system encompassing a statewide network of case management teams among three managed care organizations (MCOs). Upon confirmation that all parties adhere to HIPAA regulations, the Nebraska Childhood Lead Poisoning Prevention Program (NeCLPPP) collaborated with the Division of Medicaid and Long-Term Care (MLTC) to access the N-Focus application, which houses Medicaid enrollment data for the state. With access to this information, NeCLPPP and MLTC developed the following protocol for medical case management referral for children enrolled in an MCO plan:</p> <p><strong>Step 1:</strong> Using Nebraska's Blood Lead Surveillance System, NeCLPPP identifies children eligible for case management based on a confirmed venous blood lead level (BLL) of ≥5 μg/dL or several elevated capillary blood lead tests of ≥5 μg/dL with no confirmatory venous testing. NeCLPPP checks in N-Focus to see if that child is enrolled in Medicaid.</p> <p><strong>Step 2:</strong> If the child is enrolled in Medicaid, NeCLPPP notifies MLTC staff members, who forward a referral to the case management team of the MCO serving that child.</p> <p><strong>Step 3:</strong> The MCO reports the status of the referrals back to MLTC and NeCLPPP every month.</p> <h4 id="heading-6uezv1q1lc">Impact</h4> <p>Within the first five months of initiating this protocol, 21 children received intensive clinical case management services who otherwise would not have had access. Because NeCLPPP's collaborative and resourceful protocol builds upon existing services of the MCOs, the impact gained from these services came at no additional cost. As the work of NeCLPPP continues to promote BLL testing in vulnerable low-income and minority populations, this protocol will be invaluable for linking children with identified elevated BLLs to these needed services.</p> <p><em>Funding for this work was made possible in part by the Cooperative Agreement Number [</em><em>NUE2EH001364] from the Centers for Disease Control and Prevention (CDC). The views expressed in this material do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. </em></p> </div> </div> <div class="cdc-dfe-body__right page-right-rail"> <aside class="page-right-rail__static noindex" role="complementary"> <div class="on-this-page " data-sid=""> <h2 class="on-this-page__heading"> On This Page </h2> <div class="card-body"> <ul> <li><a href="#cdc_generic_section_1-about-the-program">About the program</a></li> <li><a href="#cdc_generic_section_4-success-story-funding-year-3">Success story: funding year 3</a></li> <li><a href="#cdc_generic_section_2-success-story-funding-year-2">Success story: funding year 2</a></li> <li><a href="#cdc_generic_section_3-success-story-funding-year-1">Success story: funding year 1</a></li> </ul> </div> </div> </aside> <aside class="page-right-rail__dynamic noindex" role="complementary"> <div data-related-nav></div> </aside> </div> </div> <div data-journey-next></div> <section class="container page-mobile-bar"> <time class="page-mobile-bar__item page-mobile-bar__item--date" datetime="2024-04-30 00:00:00"> April 30, 2024 </time> </section> <div class="page-content-sources noindex"> <div class="page-content-sources__header"> <a data-action="summary" class="collapsed" href="#content-sources" role="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="content-sources" data-cs-toggle="">Sources</a> <a data-action="print" href="#print" class="d-none d-md-block" aria-label="print this page" onclick="window.print()">Print</a> <a data-action="share" href="#share" data-bs-toggle="dropdown" aria-label="share this page" aria-expanded="false">Share</a> <div class="dropdown-menu page-share-bar" data-popper-placement="bottom-start"> <a href="#" class="page-share-facebook"><span class="cdc-icon-facebook"></span></a> <a href="#" class="page-share-linkedin"><span class="cdc-icon-linkedin"></span></a> <a href="#" class="page-share-twitter"><span class="cdc-icon-twitter"></span></a> <a href="#" class="page-share-syndication"><span class="cdc-icon-rss"></span></a> </div> </div> <div class="page-share-container"> <div class="page-share-popup" id="page-share-popup" role="dialog"> <a target="_blank" title="Share to Facebook" rel="noreferrer noopener" class="page-share-facebook metrics-share-facebook" href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.cdc.gov"> <span class="sr-only">Facebook</span> <span class="cdc-icon-facebook-inverse"></span> </a> <a target="_blank" title="Share to LinkedIn" rel="noreferrer noopener" class="page-share-linkedin metrics-share-linkedin" href="https://www.linkedin.com/shareArticle?url=https%3A%2F%2Fwww.cdc.gov&title=Living%20with%20High%20Blood%20Pressure"> <span class="sr-only">LinkedIn</span> <span class="cdc-icon-linkedin-inverse"></span> </a> <a target="_blank" title="Share to Twitter" rel="noreferrer noopener" class="page-share-twitter metrics-share-twitter" href="https://twitter.com/share?url=https%3A%2F%2Fwww.cdc.gov&text=Living%20with%20High%20Blood%20Pressure"> <span class="sr-only">Twitter</span> <span class="cdc-icon-twitter-inverse"></span> </a> <a target="_blank" title="Embed this Page" rel="noreferrer noopener" class="page-share-syndication metrics-share-syndicate" href="https://tools.cdc.gov/medialibrary/index.aspx#/sharecontent/https://https://www.cdc.gov/lead-prevention/success-stories-by-state/nebraska.html"> <span class="sr-only">Syndicate</span> <span class="fi cdc-icon-syndication-round"></span> </a> </div> </div> <div id="content-sources" class="page-content-sources__body accordion-collapse collapse"> <div class="callout callout-content-source" role="status"> <div class="callout-heading">Content Source:</div> <a class="cdc-block-link" href="/nceh/index.html">National Center for Environmental Health</a> </div> </div> </div> <section class="container related-pages related-pages__mobile"> <div data-related-nav-mobile></div> </section> </div> </main> <section class="site-footer container noindex"> <div class="row cdc-footer__inner"> <div class="col-lg-3 site-footer__heading"> <h2> <a href=""> <span class="cdc-footer__super-title" aria-label="Childhood Lead Poisoning Prevention"> <a href="/lead-prevention/about/index.html"> Childhood Lead Poisoning Prevention </a> <i class="cdc-icon cdc-fa-light cdc-fa-angle-right"></i> </span> </a> </h2> <p>CDC’s Childhood Lead Poisoning Prevention Program (CLPPP) is dedicated to reducing childhood lead poisoning as a public health problem.</p> <a href="/lead-prevention/site.html" class="btn-outline__half btn btn-outline-white btn-arrow"> View All </a> </div> <div class="col-lg-8 offset-lg-1"> <div class="row site-footer__links"> <div class="col-md-6">  <h3 class="site-footer__links__header"> <a class="cdc-footer__super-link" href="/lead-prevention/site.html#gen"> <span>For Everyone</span> <span class="cdc-icon cdc-fa-light cdc-fa-angle-right"></span> </a> </h3> <ul> <li> <a data-post-id="325" href="/lead-prevention/about/index.html"> About </a> </li> <li> <a data-post-id="564" href="/lead-prevention/symptoms-complications/index.html"> Symptoms and Complications </a> </li> <li> <a data-post-id="368" href="/lead-prevention/testing/index.html"> Testing </a> </li> <li> <a data-post-id="330" href="/lead-prevention/risk-factors/index.html"> People at Increased Risk and Childhood Lead Poisoning </a> </li> <li> <a data-post-id="326" href="/lead-prevention/prevention/index.html"> Reducing Your Risk </a> </li> <li> <a data-post-id="128" href="/lead-prevention/communication-resources/index.html"> Communication Resources and Tools </a> </li> <li> <a data-post-id="597" href="/lead-prevention/news/index.html"> News and Features </a> </li> <li> <a data-post-id="4254" href="/lead-prevention/community-stories/index.html"> Lead-Free Communities Initiative </a> </li> <li> <a href="/lead-prevention/site.html#gen" class="btn cdc-super-footer-link"> View all <span class="cdc-icon cdc-fa-light cdc-fa-angle-right"></span> </a> </li> </ul> </div> <div class="col-md-6"> <div class="audience-column"> <h3 class="site-footer__links__header"> <a class="cdc-footer__super-link" href="/lead-prevention/site.html#hcp"> <span>Health Care Providers</span> <span class="cdc-icon cdc-fa-light cdc-fa-angle-right"></span> </a> </h3> <ul> <li> <a data-post-id="139" href="/lead-prevention/hcp/clinical-guidance/index.html"> Blood Lead Level Guidance </a> </li> </ul> </div> <div class="audience-column"> <h3 class="site-footer__links__header"> <a class="cdc-footer__super-link" href="/lead-prevention/site.html#php"> <span>Public Health</span> <span class="cdc-icon cdc-fa-light cdc-fa-angle-right"></span> </a> </h3> <ul> <li> <a data-post-id="607" href="/lead-prevention/php/guidelines/index.html"> Guidelines </a> </li> <li> <a data-post-id="686" href="/lead-prevention/php/laboratory/index.html"> Laboratory Considerations </a> </li> <li> <a data-post-id="1490" href="/lead-prevention/php/trainings/index.html"> Training </a> </li> <li> <a href="/lead-prevention/site.html#php" class="btn cdc-super-footer-link"> View All <span class="cdc-icon cdc-fa-light cdc-fa-angle-right"></span> </a> </li> </ul> </div> </div> </div> <div class="row site-footer__emailupdates"> <div class="col"> <i class="cdc-fa-regular cdc-fa-envelope" role="img" aria-hidden="true"></i> <a href="https://tools.cdc.gov/campaignproxyservice/subscriptions.aspx#featured">Sign up for Email Updates</a> <i class="cdc-fa-light cdc-fa-angle-right" role="img" aria-hidden="true"></i> </div> </div> </div> </div> </section> <footer class="container cdc-footer noindex" role="contentinfo"> <section class="cdc-footer__desktop"> <nav class="cdc-footer__nav" id="cdc-footer-nav"> <div class="row cdc-footer__inner"> <div class="col"> <a id="contactUs-btn" class="cdc-footer__nav-link" data-bs-toggle="collapse" href="#contactUs" role="button" aria-expanded="false" aria-controls="contactUs"> Contact Us <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__subnav collapse" id="contactUs" data-bs-parent="#cdc-footer-nav" aria-labelledby="contactUs-btn" tabindex="-1"> <div class="cdc-footer__subnav-inner"> <a class="cdc-footer__nav-heading" href="https://www.cdc.gov/cdc-info/index.html">Contact Us <span class="cdc-fa-angle-right"></span></a> <ul> <li><a class="cdc-footer__subnav-link" href="tel:800-232-4636">Call 800-232-4636</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/cdc-info/index.html">Contact CDC</a></li> </ul> </div> </div> <a id="aboutCDC-btn" class="cdc-footer__nav-link" data-bs-toggle="collapse" href="#aboutCDC" role="button" aria-expanded="false" aria-controls="aboutCDC"> About CDC <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__subnav collapse" id="aboutCDC" data-bs-parent="#cdc-footer-nav" aria-labelledby="aboutCDC-btn" tabindex="-1"> <div class="cdc-footer__subnav-inner"> <a class="cdc-footer__nav-heading" href="/about/">About CDC <span class="cdc-fa-angle-right"></span></a> <ul> <li><a class="cdc-footer__subnav-link" href="/about/organization/">Organization</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/budget/">Budget & Funding</a></li> <li><a class="cdc-footer__subnav-link" href="https://jobs.cdc.gov/index.html">Careers & Jobs</a></li> </ul> </div> </div> <a id="policies-btn" class="cdc-footer__nav-link" data-bs-toggle="collapse" href="#policies" role="button" aria-expanded="false" aria-controls="policies"> Policies <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__subnav collapse" id="policies" data-bs-parent="#cdc-footer-nav" aria-labelledby="policies-btn" tabindex="-1"> <div class="cdc-footer__subnav-inner"> <div class="row"> <div class="col-lg-3"> <ul> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/accessibility.html">Accessibility</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/Other/disclaimer.html#exit-notification">External Links</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/privacy.html">Privacy</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/Other/policies.html">Web Policies</a></li> </ul> </div> <div class="col-lg-3"> <ul> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/foia/">FOIA</a></li> <li><a class="cdc-footer__subnav-link" href="https://oig.hhs.gov/">OIG</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/oeeowe/nofearact/">No Fear Act</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/nondiscrimination.html">Nondiscrimination</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html">Vulnerability Disclosure Policy</a></li> </ul> </div> </div> </div> </div> <a id="languages-btn" class="cdc-footer__nav-link" data-bs-toggle="collapse" href="#languages" role="button" aria-expanded="false" aria-controls="languages"> Languages <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__subnav collapse" id="languages" data-bs-parent="#cdc-footer-nav" aria-labelledby="languages-btn" tabindex="-1"> <div class="cdc-footer__subnav-inner"> <div class="row"> <div class="col-lg-2"> <a href="https://wwwn.cdc.gov/pubs/other-languages?Sort=Lang%3A%3Aasc" class="cdc-footer__nav-heading">Languages</a> <ul> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/spanish/">Español</a></li> </ul> </div> <div class="col-lg-10"> <a href="https://www.cdc.gov/other/language-assistance.html" class="cdc-footer__nav-heading">Language Assistance</a> <div class="row"> <div class="col-lg-3"> <ul> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Spanish">Español</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Chinese">繁體中文</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Vietnamese">Tiếng Việt</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Korean">한국어</a></li> </ul> </div> <div class="col-lg-3"> <ul> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Tagalog">Tagalog</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Russian">Русский</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Arabic">العربية</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Haitian">Kreyòl Ayisyen</a></li> </ul> </div> <div class="col-lg-3"> <ul> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#French">Français</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Polish">Polski</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Portuguese">Português</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Italian">Italiano</a></li> </ul> </div> <div class="col-lg-3"> <ul> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#German">Deutsch</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Japanese">日本語</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#Farsi">فارسی</a></li> <li><a class="cdc-footer__subnav-link" href="https://www.cdc.gov/other/language-assistance.html#English">English</a></li> </ul> </div> </div> </div> </div> </div> </div> <a id="archive-btn" class="cdc-footer__nav-link" data-bs-toggle="collapse" href="#archive" role="button" aria-expanded="false" aria-controls="archive"> Archive <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__subnav collapse" id="archive" data-bs-parent="#cdc-footer-nav" aria-labelledby="archive-btn" tabindex="-1"> <div class="cdc-footer__subnav-inner"> <ul> <li><a class="cdc-footer__subnav-link" href="https://archive.cdc.gov/">CDC Archive</a></li> <li><a class="cdc-footer__subnav-link" href="https://stacks.cdc.gov/">Public Health Publications</a></li> </ul> </div> </div> </div> </div> </nav> </section> <section class="cdc-footer__mobile"> <nav class="cdc-footer__nav"> <div class="row cdc-footer__inner"> <div class="col"> <a class="cdc-footer__heading" data-bs-toggle="collapse" href="#mobile-footer-contactUs" role="button" aria-expanded="false" aria-controls="mobile-footer-contactUs"> Contact Us <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__group col offset-lg-1 collapse" id="mobile-footer-contactUs"> <a href="https://www.cdc.gov/cdc-info/index.html" class="cdc-footer__nav-heading">Contact Us</a> <span class="cdc-fa-angle-right"></span> <ul> <li><a href="tel:800-232-4636">Call 800-232-4636</a></li> <li><a href="https://www.cdc.gov/cdc-info/index.html">Contact CDC</a></li> </ul> </div> <a class="cdc-footer__heading" data-bs-toggle="collapse" href="#mobile-footer-aboutCDC" role="button" aria-expanded="false" aria-controls="mobile-footer-aboutCDC"> About CDC <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__group col offset-lg-1 collapse" id="mobile-footer-aboutCDC"> <ul> <li><a href="/about/organization/">Organization</a></li> <li><a href="https://www.cdc.gov/budget/">Budget & Funding</a></li> <li><a href="https://jobs.cdc.gov/index.html">Careers & Jobs</a></li> <li><a href="/about/">About CDC</a></li> </ul> </div> <a class="cdc-footer__heading" data-bs-toggle="collapse" href="#mobile-footer-policies" role="button" aria-expanded="false" aria-controls="mobile-footer-policies"> Policies <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__group col offset-lg-1 collapse" id="mobile-footer-policies" data-bs-parent="#cdc-footer-nav"> <ul> <li><a href="https://www.cdc.gov/other/accessibility.html">Accessibility</a></li> <li><a href="https://www.cdc.gov/Other/disclaimer.html#exit-notification">External Links</a></li> <li><a href="https://www.cdc.gov/other/privacy.html">Privacy</a></li> <li><a href="https://www.cdc.gov/Other/policies.html">Web Policies</a></li> </ul> <ul> <li><a href="https://www.cdc.gov/foia/">FOIA</a></li> <li><a href="https://oig.hhs.gov/">OIG</a></li> <li><a href="https://www.cdc.gov/oeeowe/nofearact/">No Fear Act</a></li> <li><a href="https://www.cdc.gov/other/nondiscrimination.html">Nondiscrimination</a></li> <li><a href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html">Vulnerability Disclosure Policy</a></li> </ul> </div> <a class="cdc-footer__heading" data-bs-toggle="collapse" href="#mobile-footer-languages" role="button" aria-expanded="false" aria-controls="mobile-footer-languages"> Languages <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__group col offset-lg-1 collapse" id="mobile-footer-languages" data-bs-parent="#cdc-footer-nav"> <p class="cdc-footer__nav-heading">Languages <span class="cdc-fa-angle-right"></span></p> <ul> <li><a href="https://www.cdc.gov/spanish/">Español</a></li> </ul> <p class="cdc-footer__nav-heading">Language Assistance <span class="cdc-fa-angle-right"></span></p> <ul> <li><a href="https://www.cdc.gov/other/language-assistance.html#Spanish">Español</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Chinese">繁體中文</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Vietnamese">Tiếng Việt</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Korean">한국어</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Tagalog">Tagalog</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Russian">Русский</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Arabic">العربية</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Haitian">Kreyòl Ayisyen</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#French">Français</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Polish">Polski</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Portuguese">Português</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Italian">Italiano</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#German">Deutsch</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Japanese">日本語</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#Farsi">فارسی</a></li> <li><a href="https://www.cdc.gov/other/language-assistance.html#English">English</a></li> </ul> </div> <a class="cdc-footer__heading" data-bs-toggle="collapse" href="#mobile-footer-archive" role="button" aria-expanded="false" aria-controls="mobile-footer-archive"> Archive <span class="cdc-fa-angle-down"></span> </a> <div class="cdc-footer__group col offset-lg-1 collapse" id="mobile-footer-archive"> <ul> <li><a href="https://archive.cdc.gov/">CDC Archive</a></li> <li><a href="https://stacks.cdc.gov/">Public Health Publications</a></li> </ul> </div> </div> </div> </nav> </section> <div class="cdc-footer__body"> <div class="row cdc-footer__inner"> <div class="col-lg-3 cdc-footer__body-logo"> <a href="/"> <img src="/TemplatePackage/5.0/img/logo/cdc-logo-tag-right.svg" alt="Centers for Disease Control and Prevention" /> </a> </div> <div class="col-lg-7 cdc-footer__body-social"> <div> <a href="https://www.facebook.com/CDC"> <i role="img" aria-label="facebook icon" class="cdc-icon-facebook"></i> </a> <a href="https://twitter.com/CDCgov"> <i role="img" aria-label="x icon" class="cdc-icon-twitter"></i> </a> <a href="https://www.instagram.com/CDCgov"> <i role="img" aria-label="instagram icon" class="cdc-icon-instagram"></i> </a> <a href="https://www.linkedin.com/company/centers-for-disease-control-and-prevention"> <i role="img" aria-label="linkedin icon" class="cdc-icon-linkedin"></i> </a> </div> <div> <a href="https://www.youtube.com/cdc"> <i role="img" aria-label="youtube icon" class="cdc-icon-youtube"></i> </a> <a href="https://www.pinterest.com/cdcgov"> <i role="img" aria-label="pinterest icon" class="cdc-icon-pinterest"></i> </a> <a href="https://www.snapchat.com/add/cdcgov"> <i role="img" aria-label="snapchat icon" class="cdc-icon-snapchat"></i> </a> <a href="https://www.cdc.gov/rss"> <i role="img" aria-label="rss icon" class="cdc-icon-rss"></i> </a> </div> </div> </div> </div> <div class="cdc-footer__agency"> <div class="row cdc-footer__inner"> <div class="col-lg-12"> <a href="https://hhs.gov">HHS.gov</a> <a href="https://usa.gov">USA.gov</a> </div> </div> </div> </footer>  <div class="cdc-page-progress-bar d-none noindex"> <div class="cdc-page-progress-bar__scrubber"></div> </div>  <a href="#" class="cdc-page-to-top d-none noindex noprint" title="Go to top"> <div class="cdc-page-to-top__bar"><i class="cdc-fa-solid cdc-fa-arrow-up"></i></div> </a> <script src="/config/cdc_config.js"></script> <script>var CDC_POST={"id":"1463_488","type":"cdc_dfe","context":"1463-2","lang":"en","audience":"gen","tax":{"cdc_topics":["bbf168b6-d0e7-404d-b1fa-06347a7e23fd","328f2842-ba3d-4c61-a8e7-357ecd0d2586","da625d04-f01b-4013-b572-3439cd2eb187","72aacad4-ceb4-4fd6-858a-05bec5108978","dac4cf33-6e05-4eaa-be99-e0a90690ee6e","64bcfe38-a34e-4b2b-a4b7-ecbc03bf85af","c96aae9f-f66b-4470-82f7-19f387eff265"],"cdc_categories":["4c41cfe4-f2e5-498a-b444-3ff64068358e","5182151d-0821-4563-a623-84401cc86e38"],"cdc_audiences":["8de1299b-beee-47ff-a33e-3ab1d2f97e0c"],"cdc_geolocation":["91513701-e78d-4920-a165-0f7a0c3cbc2f","c06140e6-afa9-42d6-94f0-9c234976a4dd"]}};</script> <script src="/TemplatePackage/contrib/libs/bootstrap/5x/bootstrap.bundle.min.js?_=79008"></script> <script src="/TemplatePackage/contrib/libs/jquery/latest/jquery.js?_=79008"></script> <script src="/TemplatePackage/5.0/js/app.js?_=79008"></script> <script>siteCatalyst.setChannel("Childhood-Lead"); siteCatalyst.setLevel1("NCEH"); siteCatalyst.setLevel2("DEHSP"); siteCatalyst.setLevel3("Childhood-Lead")</script> <script> </script> </body> </html>

CINXE.COM

Nebraska | Childhood Lead Poisoning Prevention | CDC