1     
JOINT RESOLUTION ENCOURAGING ACTION TO REDUCE

2     
THE NUMBER OF UTAH CHILDREN WITH ELEVATED

3     
BLOOD LEAD LEVELS

4     
2020 GENERAL SESSION

5     
STATE OF UTAH

6     
Chief Sponsor: Jani Iwamoto

7     
House Sponsor: Stephen G. Handy

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9     LONG TITLE
10     General Description:
11          This joint resolution of the Legislature highlights the pediatric health risks resulting
12     from exposure to lead, the potential for early screening and testing to result in
13     successful avoidance and interventions, and encourages screening and testing of Utah
14     children.
15     Highlighted Provisions:
16          This resolution:
17          ▸     describes the known adverse health effects and concerns of childhood lead
18     exposure;
19          ▸     describes the known benefits of avoidance and interventions resulting from early
20     detection of childhood lead exposure;
21          ▸     encourages Utah health care providers for children, pregnant women, and women of
22     childbearing age to be knowledgeable about the risks of environmental lead
23     exposure and the recommended federal and state guidelines for screening and
24     testing children for lead exposure; and
25          ▸     encourages the Utah Department of Health to provide primary prevention education
26     and to promote awareness through the dissemination of information about the health
27     risks of childhood lead exposure, lead exposure risk factors, recommendations for
28     screening and testing children, and policies and practices to mitigate childhood lead
29     exposure and health risks.

30     Special Clauses:
31          None
32     

33     Be it resolved by the Legislature of the state of Utah:
34          WHEREAS, naturally occurring lead is concentrated in properties formerly used for
35     mining purposes;
36          WHEREAS, lead was historically used in gasoline, plumbing, paints, and other
37     products used by people;
38          WHEREAS, lead is still used in many household products, hobbies, and occupations;
39          WHEREAS, residential areas located on sites of former mining operations or built
40     before 1978 are shown to be population areas of higher exposure risk for children to lead;
41          WHEREAS, about 50,000 children are born in Utah each year;
42          WHEREAS, 132 pre-school age children that were tested in 2018 had elevated blood
43     lead levels;
44          WHEREAS, only 3.6% of children ages 0 to 5 years were tested in 2018;
45          WHEREAS, there is no known safe blood lead level;
46          WHEREAS, lead absorbed into the blood is known to adversely affect every organ
47     system in the body;
48          WHEREAS, the adverse health effects of lead on the nervous system are particularly
49     harmful;
50          WHEREAS, prevention through lead awareness education is an important approach to
51     reducing harm to children resulting from lead exposure;
52          WHEREAS, for those children who are exposed and have elevated blood lead levels,
53     mitigating further exposure is critical to preventing further harm;
54          WHEREAS, national public health and pediatric health care professional associations
55     recommend that a questionnaire be administered for children from 6 months to 6 years of age
56     for possible lead exposure;
57          WHEREAS, testing is the only definitive way to know if a child has been exposed to

58     lead and that testing is recommended at ages 1 and 2 years and under the age of 6 years if never
59     tested;
60          WHEREAS, Utah Medicaid is a willing payer for the screening of Medicaid-enrolled
61     Utah children;
62          WHEREAS, it is a federal mandate that all children on Medicaid are tested at 1 and 2
63     years of age; and
64          WHEREAS, the cost of testing children is modest:
65          NOW, THEREFORE, BE IT RESOLVED that the Legislature encourages pediatric
66     health care providers and providers for pregnant women and women of child-bearing age to be
67     knowledgeable about:
68          1. the risks of lead exposure among their served populations;
69          2. the recommended federal and state guidelines, including Medicaid lead screening
70     and testing requirements;
71          3. the reporting requirements of blood lead test results to the state of Utah; and
72          4. the methods and advantages of exposure prevention, risk awareness education for
73     parents, guardians, or caretakers, and early interventions for children with elevated blood lead
74     levels.
75          BE IT FURTHER RESOLVED that the Legislature encourages the Environmental
76     Epidemiology Program of the Utah Department of Health to collaborate with child health
77     clinical professionals to develop screening plans responsive to local conditions using local
78     data.
79          BE IT FURTHER RESOLVED that the Legislature encourages the Environmental
80     Epidemiology Program to provide and promote awareness through the dissemination of
81     primary prevention education and information about the health risks of childhood lead
82     exposure, lead exposure risk factors, recommendations for screening and testing children, and
83     policies and practices to mitigate childhood lead exposure and health risks.
84          BE IT FURTHER RESOLVED that a copy of this resolution be sent to the Utah
85     Department of Health, the Utah Medical Association, the Utah Academy of Family Physicians,

86     the Utah Chapter of the American Academy of Pediatrics, the Utah Academy of Physician
87     Assistants, and Utah Nurse Practitioners.