ࡱ> a  fbjbj[[ .9bE\9bE\ ^$*|("-(/(/(/(/(/(/($N*-\S(S(h(!!!-(!-(!!:_%C&Px]>% (~(0(%R`-!`-C&C&&`-i&!S(S(!(`- : ANTICIPATORY GUIDANCE RESOURCES FOR BIRTH TO AGE 5 I. GENERAL INFORMATION A. BRIGHT FUTURES: Hagan JF, Shaw JS, Duncan P., eds. Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents, 3rd ed, 2008.  HYPERLINK "https://brightfutures.aap.org/" https://brightfutures.aap.org/ B. TEXAS HEALTH STEPS ONLINE CURRICULUM: Texas Health Steps Online Curriculum:  HYPERLINK "http://txhealthsteps.com" http://txhealthsteps.com. C. AAP: 1. AAP Policy Statement. AAP Committee on Psychosocial Aspects of Child and Family Health, et al. Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics 2012;129:1 e224-e231. 2. AAP Technical Report. Shonkoff JP, Garner AS, et al. The lifelong effects of early childhood adversity and toxic stress. Pediatrics 2012;129:1 e232-e246. 3. AAP Early Brain and Child Development (EBCD):  HYPERLINK "http://www.aap.org/ebcd" www.aap.org/ebcd. Has a wealth of resources for providers. D. National Scientific Council on the Developing Child:  HYPERLINK "http://www.developingchild.net" http://www.developingchild.net II. FAMILY SUPPORT A. GENERAL SUPPORT 1. AAP: Healthy Children, website for parents by the American Academy of Pediatrics.  HYPERLINK "http://www.Healthychildren.org" www.Healthychildren.org. 2. Text 4 Baby: a free text messaging program for pregnant women and new mothers. Will send 3 free text messages weekly with advice about pregnancy and infant care. Text BABY to 511411 or BEBE al 511411 para Espanol. 3. 2-1-1: Dialing code in Texas for free, bilingual information and referrals to health and human services or community organizations. 4. Medicaid Transportation: (877) 633-8747 5. Hand to Hold: Nonprofit organization in Austin, TX dedicated to supporting parents of children born prematurely.  HYPERLINK "http://www.handtohold.org" www.handtohold.org B. POSTPARTUM DEPRESSION 1. AAP Clinical Report:Earls MF and the AAP Committee on Psychosocial Aspects of Child and Family Health. Clinical Report- Incorporating recognition and management of perinatal and postpartum depression into pediatric practice. Pediatrics 2010;126:1032-1039. 2. Pregnancy, Parenting and Depression Resource List.  HYPERLINK "http://www.dshs.state.tx.us/mch/depression.shtm" http://www.dshs.state.tx.us/mch/depression.shtm. List kept up to date by the Maternal & Child Health Division of the Texas Department of State Health Services. This lists agencies by county that can assist mothers with post-partum depression. 3. Postpartum Support International,  HYPERLINK "http://www.postpartum.net" http://www.postpartum.net, (800)944-4773. III. NUTRITION A. GENERAL 1. AMERICAN ACADEMY OF PEDIATRICS: Healthy Active Living for Families (HALF),  HYPERLINK "https://www.healthychildren.org/English/healthy-living/growing-healthy/Pages/default.aspx" https://www.healthychildren.org/English/healthy-living/growing-healthy/Pages/default.aspx 2. UNITED STATES DEPARTMENT OF AGRICULTURE. CHOOSE MY PLATE:  HYPERLINK "http://www.choosemyplate.gov/" http://www.choosemyplate.gov/ Food plans, handouts and other resources. 3. TEXAS DEPARTMENT OF AGRICULTURE Nutrition resources from Texas Department of Agriculture: bilingual, free, appealing!  HYPERLINK "http://www.squaremeals.org/Publications/DownloadableTDAPublications.aspx" http://www.squaremeals.org/Publications/DownloadableTDAPublications.aspx 4. TEXAS PEDIATRIC SOCIETYS ONLINE OBESITY TOOLKIT:  HYPERLINK "https://txpeds.org/texas-pediatric-society-obesity-toolkit" https://txpeds.org/texas-pediatric-society-obesity-toolkit 5. AAP COMMITTEE ON NUTRITION REPORTS: a. Daniels SR, Hassink SG, AAP Committee on Nutrition. Clinical Report: The role of the pediatrician in primary prevention of obesity. Pediatrics 2015;136:e275-e292. b. Forman J, Silverstein J, AAP Committee on Nutrition and AAP Council on Environmental Health. Clinical Report: Organic foods: health and environmental advantages and disadvantages. Pediatrics 2012;130:e e1406-e1415. B. BREASTFEEDING 1. Academy of Breastfeeding Medicine.  HYPERLINK "http://www.bfmed.org" www.bfmed.org 2. American Academy of Pediatrics (AAP) Policy Statement AAP Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics 2012;129:e827. 3. AAP Breastfeeding Initiative:  HYPERLINK "http://www2.aap.org/breastfeeding" http://www2.aap.org/breastfeeding 4. AAP: How to have a Breastfeeding Friendly Practice:  HYPERLINK "http://www2.aap.org/breastfeeding/files/pdf/aap%20havefriendlypractice.pdf" http://www2.aap.org/breastfeeding/files/pdf/aap%20havefriendlypractice.pdf 5. Baby Steps in Texas: A Breastfeeding Toolkit: available on the Texas Pediatric Society website:  HYPERLINK "https://txpeds.org/breastfeeding-toolkit" https://txpeds.org/breastfeeding-toolkit Has many useful resources and videos for providers and parents. 6. Texas Ten Step Toolkit: A program for baby friendly hospitals who promote breastfeeding.  HYPERLINK "http://txpeds.org/breastfeeding-toolkit" \t "_blank" http://txpeds.org/breastfeeding-toolkit, includes resources for medical offices:  HYPERLINK "https://txpeds.org/sites/txpeds.org/files/www/Baby-Steps-Algorithm.pdf" \t "_blank" Baby Steps Algorithm  HYPERLINK "https://txpeds.org/sites/txpeds.org/files/www/Mother's-Breastfeeding-FAQ.pdf" \t "_blank" Mother's Breastfeeding FAQs  HYPERLINK "https://txpeds.org/sites/txpeds.org/files/www/Father-Breastfeeding-FAQ.pdf" \t "_blank" Father's Breastfeeding FAQs  HYPERLINK "http://www.bfmed.org/" \t "_blank" The Academy of Breastfeeding Medicine  HYPERLINK "http://www.bfmed.org/Resources/Protocols.aspx" Multilanguage Protocols  HYPERLINK "http://www.dshs.state.tx.us/workarea/linkit.aspx?linkIdentifier=id&itemid=8589954721" \t "_blank" Physicians Pocket Guide to Breastfeeding  HYPERLINK "http://www.google.com/url?sa=t&rct=j&q=instructional%20guide%20for%20giving%20your%20baby%20the%20best&source=web&cd=1&ved=0CFMQFjAA&url=http%3A%2F%2Fwww.dshs.state.tx.us%2Fwichd%2Fwiccatalog%2Fpdfs%2F13-220_Eng_BF-Instructional-Guide-2008.pdf&ei=0w3aT__bHYfO2wXltN21Bg&usg=AFQjCNE7eKcTj11Trt6EJrFzsSZ233plWg" \t "_blank" Breastfeeding Instructional Guide 7. WIC Breastmilk Counts Comprehensive, bilingual website for moms from Texas Department of State Health Services WIC Program:  HYPERLINK "http://www.breastmilkcounts.com/" \t "_blank" http://www.breastmilkcounts.com  HYPERLINK "http://www.breastmilkcounts.com/spanish" \t "_blank" http://www.breastmilkcounts.com/spanish including education, BF support by geographic location and personalized BF plan prior to delivery:  HYPERLINK "http://breastmilkcounts.com/educational-activities.php" http://breastmilkcounts.com/educational-activities.php  HYPERLINK "http://breastmilkcounts.com/lactation-consultation.php" http://breastmilkcounts.com/lactation-consultation.php  HYPERLINK "http://breastmilkcounts.com/Breastfeeding_Plan.pdf" http://breastmilkcounts.com/Breastfeeding_Plan.pdf Breastfeeding Facts bilingual handout, free from WIC:  HYPERLINK "https://txpeds.org/sites/txpeds.org/files/www/Breastfeeding-Facts.pdf" \t "_parent" https://txpeds.org/sites/txpeds.org/files/www/Breastfeeding-Facts.pdf 8. BREASTFEEDING HELPLINES National Breastfeeding Helpline: 1-800-994-9662 WIC TX Breastfeeding Hotline: 1-855-550-6667 Texas Department of State Health Services: 1-888-963-7111 La Leche League International: 1-877-4-LA-LECHE or 1-877-452-5324,  HYPERLINK "http://texaslll.org/" \t "_blank" http://texaslll.org/ C. FORMULA AND SUPPLEMENTARY FEEDING 1. WIC Program:  HYPERLINK "https://www.dshs.state.tx.us/wichd/" https://www.dshs.state.tx.us/wichd/ Parents can call (800) 942-3678 to find the WIC office closest to them. IV. SAFETY A. GENERAL SAFETY 1. SAFE KIDS:  HYPERLINK "http://www.safekids.org" www.safekids.org, website for parents regarding safety and injury prevention by age. Has many free handouts that can be down loaded. 2. Consumer Product Safety Commission: Excellent website for parents and health professionals to evauate the most up to date product recalls, can sign up for email updates.  HYPERLINK "http://www.cpsc.gov" www.cpsc.gov 3. Texas Childrens Hospital Center for Childhood Injury Prevention: educational materials including handouts in English and Spanish on a variety of injury prevention topics.  HYPERLINK "http://www.texaschildrens.org/injuryprevention/" http://www.texaschildrens.org/injuryprevention/ B. CAR SEATS 1. AAP Policy Statement: AAP Committee on Injury, Violence and Poison Prevention, Policy Statement: Child passenger safety. Pediatrics 2011;127:788-793. 2. Texas Department of Public Safety Child Passenger Safety Information  HYPERLINK "http://www.txdps.state.tx.us/director_staff/public_information/carseat.htm" http://www.txdps.state.tx.us/director_staff/public_information/carseat.htm 3. Safe Riders: State managed child seat distribution program, free seat per family after completing a class, offers grants to allow agencies opportunity to become a distribution site.  HYPERLINK "https://www.dshs.state.tx.us/saferiders/" https://www.dshs.state.tx.us/saferiders/ 4. Safe Kids:  HYPERLINK "http://www.safekids.org" www.safekids.org -website for parents regarding safety and injury prevention by age . Has videos about car seats and booster seats. C. SAFE SLEEP 1. Room to Breathe: Safe Sleeping Tips For Your Baby and You.  HYPERLINK "http://www.dfps.state.tx.us" www.dfps.state.tx.us 2. AAP Policy Statement: AAP Task Force on Sudden Infant Death. SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment. Pediatrics 2011;128;1030-1039. 3. Cribs For Kids: Provides educational materials on safe sleep. In some communities, provides reduced cost Pack and Plays for eligible families.  HYPERLINK "http://www.cribsforkids.org" http://www.cribsforkids.org 4. Safe to Sleep Public Education Campaign: Led by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Many educational materials related to safe sleep.  HYPERLINK "http://www.nichd.nih.gov/sts/Pages/default.aspx" http://www.nichd.nih.gov/sts/Pages/default.aspx 5. Southwest SIDS Research Institute: Provides the latest SIDS and safe sleep updates specific to Texas health providers and families.  HYPERLINK "http://www.swsids.org" http://www.swsids.org D. TOBACCO EXPOSURE 1. AAP Technical Report: Best D and the AAP Committee on Environmental Health, the Committee on Native American Child Health and the Committee on Adolescence. AAP Technical Report- Secondhand and prenatal tobacco. Pediatrics 2009;124:e1017-e1044. 2. Texas Tobacco Quitline: (877)937-7848 (1-877-YES-QUIT or 1-800-QUIT NOW) Trained counselors provide free sessions, English and Spanish 3. American Lung Association:  HYPERLINK "http://www.lungusa.org" www.lungusa.org, (800)LUNG.USA 4. CDC Smoking Cessation Resources:  HYPERLINK "http://www.cdc.gov/tobacco/index.htm" http://www.cdc.gov/tobacco/index.htm 5. SMOKE FREE:  HYPERLINK "http://smokefree.gov/" http://smokefree.gov/ Free smoke free text programs and apps, educational materials on quitting. E. POISONING 1. Poison Control: (800) 222-1222.  HYPERLINK "http://www.poisoncontrol.org" www.poisoncontrol.org 2. South Texas Poison Center:  HYPERLINK "http://www.texaspoison.com" http://www.texaspoison.com F. DROWNING PREVENTION 1. Texas Drowning Prevention Alliance: Provides education for drowning prevention, including downloads of patient education materials.  HYPERLINK "http://www.txdpa.com" www.txdpa.com 2. Consumer Product Safety Commissions Pool Safely Campaign: a national water safety campaign that offers free tip sheets, toolkits, research reports and data.  HYPERLINK "http://www.poolsafely.gov/" http://www.poolsafely.gov/ G. BICYCLE SAFETY a. Hard Hats for Little Heads: Program run by the Texas Medical Association, oofers discounted bicycle helmets and matching funding for community events.  HYPERLINK "http://www.texmed.org/Hard_Hats_for_Little_Heads/" http://www.texmed.org/Hard_Hats_for_Little_Heads/ V. PARENTING/CHILD CARE A. AAP: Healthy Children:  HYPERLINK "http://www.Healthychildren.org-" www.Healthychildren.org- website for parents by the AAP B. PARENT COMPANION FIRST FIVE YEARS  HYPERLINK "http://www.parentcompanion.org" www.parentcompanion.org Parent Companion First Five Years, for parents of children birth to five years of age with a diagnosed or suspected disability, in English and Spanish. C. RAISING TEXAS: Statewide collaborative network that strives to strengthen services for young children and their families in Texas. Many helpful resources for families, including A Parents Guide to Raising Healthy, Happy Children.  HYPERLINK "http://www.raisingtexas.com" http://www.raisingtexas.com D. NAVIGATE LIFE TEXAS: Resources for kids with disabilities and special health care needs.  HYPERLINK "https://www.navigatelifetexas.org/" https://www.navigatelifetexas.org/ Website developed by the Texas Interagency Task Force for Children with Special Needs. E. HEALTHY CHILD CARE TEXAS:  HYPERLINK "http://www.healthychildcaretexas.org" http://www.healthychildcaretexas.org Excellent resources for parents and providers about child care, includes links to enable parents to search for licensed care providers. F. TEXAS CHILD CARE SEARCH:  HYPERLINK "http://www.txchildcaresearch.org" www.txchildcaresearch.org, Texas Department of Family and Protective Services website, includes day care search and information for parents. (800)862-5252. G. ZERO TO THREE:  HYPERLINK "http://www.zerotothree.org" http://www.zerotothree.org. National organization that offers resources to parents and providers to help them nurture a childs early development. Website has a very good section under Behavior and Development for challenging behaviors. H. Texas Parent to Parent (TxP2P) is committed to improving the lives of Texas children who have disabilities, chronic illness, and/or special health care needs. TxP2P empowers families to be strong advocates through parent-to-parent support, resource referral, and education  HYPERLINK "http://www.txp2p.org" http://www.txp2p.org. I. Nurse-Family Partnership is a statewide program that provides free, in-home services for pregnant women. (210)212-2534,  HYPERLINK "http://www.nursefamilypartnership.org/locations/Texas/Nurse-Family-Partnership-at-The-Children-s-Shelter" http://www.nursefamilypartnership.org/locations/Texas/Nurse-Family-Partnership-at-The-Children-s-Shelter J. Precious Minds New Connections is a free, ten-week program statewide program with parenting education and support for parents of young children. There are several local agencies with programs including Baptist Children and Family Services (210)678-2008  HYPERLINK "http://www.discoverbcfs.net/PMNC" http://www.discoverbcfs.net/PMNC, Catholic Charities (210)568-8958  HYPERLINK "http://www.ccaosa.org/pmnc/pmnc.html" http://www.ccaosa.org/pmnc/pmnc.html , YMCA  HYPERLINK "http://www.ymcasatx.org/pmnc" http://www.ymcasatx.org/pmnc, Brighton (210)826-4492  HYPERLINK "http://brightonsa.org/services/family-support-services-precious-minds-new-connections/" http://brightonsa.org/services/family-support-services-precious-minds-new-connections/ and others. K. AAP POLICY STATEMENT: AAP Council on Communications and Media. Media use by children younger than 2 years. Pediatrics 2011;128:1040-1045. L. AAP POLICY STATEMENT: AAP Council on Communication and Media. Policy Statement: Children, adolescents, obesity and the media. Pediatrics 2011;128;201-208. VI. INFANT AND CHILD DEVELOPMENT A. EARLY CHILDHOOD INTERVENTION PROGRAM (ECI) 1. ECI Information:  HYPERLINK "http://www.dars.state.tx.us/ecis" http://www.dars.state.tx.us/ecis Healthcare providers must refer all children under age 3 with a developmental delay or disability to an ECI contracted program within 7 days. 2. ECI Program Locator:  HYPERLINK "http://www.dars.state.tx.us/ecis/searchprogram.asp" http://www.dars.state.tx.us/ecis/searchprogram.asp site to look up what ECI program serves a particular community or call (800) 628-5115. 3. Qualifying Diagnoses for ECI:  HYPERLINK "http://www.dars.state.tx.us/ecis/resources/diagnoses.asp" http://www.dars.state.tx.us/ecis/resources/diagnoses.asp medical diagnoses that will qualify a child for ECI services 4. ECI Referral Form:  HYPERLINK "http://txpeds.org/sites/txpeds.org/files/documents/ECI-Referral-Form.pdf" http://txpeds.org/sites/txpeds.org/files/documents/ECI-Referral-Form.pdf ECI referral form that is accepted at all ECI programs in Texas 5. AAP Clinical Report: Adams RC, Tapia C and the AAP Council on Children With Disabilities. Early intervention, IDEA Part C services, and the medical home: collaboration for best practice and best outcomes. Pediatrics 2013;132:31073-e1088. B. EARLY HEAD START: Serves pregnant women and children from birth to 3 years of age. The mission of Early Head Start is to promote healthy prenatal outcomes for pregnant women, to enhance the development of very young children and to promote healthy family functioning. C. TEXAS INFANT, TODDLER AND THREE YEAR OLD LEARNING GUIDELINES AND TRAINING:  HYPERLINK "https://www.childrenslearninginstitute.org/programs/texas-infant-toddler-and-three-year-old-early-learning-guidelines-and-training/" https://www.childrenslearninginstitute.org/programs/texas-infant-toddler-and-three-year-old-early-learning-guidelines-and-training/ D. REACH OUT AND READ:  HYPERLINK "http://www.reachoutandread.org" www.reachoutandread.org Reach Out and Read- Texas: Jocelyn M McConnell, Program Manager, (713) 500-3883. E. LEARN THE SIGNS. ACT EARLY: CDC website for parents and providers promoting developmental screening and intervention.  HYPERLINK "http://www.cdc.gov/ncbddd/actearly/index.html" http://www.cdc.gov/ncbddd/actearly/index.html F. AMERICAN ACADEMY OF PEDIATRICS LITERACY TOOLKIT:  HYPERLINK "https://littoolkit.aap.org/Pages/home.aspx" https://littoolkit.aap.org/Pages/home.aspx G. AAP POLICY STATEMENT: AAP Council on Early Childhood. Literacy promotion: an essential component of primary care pediatric practice. 2014;134:404-409. H. HEAD START: For children ages 3-5 from low income families.  HYPERLINK "http://eclkc.ohs.acf.hhs.gov/hsic/HeadStartOffices" http://eclkc.ohs.acf.hhs.gov/hsic/HeadStartOffices Head Start locator to help families find the closest program. Or parents can call (866) 763-6481. I. PRESCHOOL PROGRAMS FOR CHILDREN WITH DISABILITIES (PPCD): The public school program for children ages 3-5 with disabilities. First step in enrollment is to contact the childs home school or districts special education office. Parents can call their local school districts Special Education Office or call the Texas Education Agency Parent Information Line at (800) 252-9668. J. PRE-KINDERGARTEN PROGRAMS: Texas currently funds half day pre-K programs for 4 year olds who are unable to speak or understand English, are educationally disadvantaged, are homeless , have parents who are in active military duty or killed or wounded in action, or have ever been in foster care. Some school districts offer full day pre-K and expanded eligibility.  HYPERLINK "http://www.prekindergartenprepares.com" www.prekindergartenprepares.com is a website with information for parents about eligibility for pre-K and the benefits of pre-K. K. PARTNERS RESOURCE NETWORK:  HYPERLINK "http://www.partnerstx.org" www.partnerstx.org, (800)866-4726 Non-profit agency that operates the Texas statewide network of Parent Training and Information Centers which provide training, education, information and referrals. They help parents to understand their childs disability, understand their rights and responsibilities under IDEA and obtain and evaluate resources and services for their child. L. TEXAS PROJECT FIRST:  HYPERLINK "http://www.texasprojectfirst.org" www.texasprojectfirst.org Texas Education Agency Website created by parents of children with disabilities, wealth of information on special education. VII. SCREENING A. METABOLIC 1. Texas Newborn Screening Program:  HYPERLINK "http://www.dshs.state.tx.us/newborn/default.shtm" www.dshs.state.tx.us/newborn/default.shtm. B. HEARING 1. Texas Early Hearing Detection and Intervention (TEHDI).  HYPERLINK "http://www.dshs.state.tx.us/tehdi/" www.dshs.state.tx.us/tehdi/ 2. AAP Clinical Report: Harlor AD, Bower C and the AAP Committee on Practice and Ambulatory Medicine and the AAP Section on Otolaryngology. Hearing assessment in infants and children: recommendations beyond neonatal screening. Pediatrics 2009;124:1252-1263. C. VISION 1. American Association for Pediatric Ophthalmology and Strabismus ( HYPERLINK "http://www.aapos.org" www.aapos.org) 2. US Preventive Services Task Force. Vision screening for children 1 to 5 years of age: US Preventive Services Task Force Recommdation Statement. Pediatrics 2011;127:340-346. 3. Davidson S, Quinn GE. The impact of pediatric vision disorders in adulthood. Pediatrics 2011;127:334-339. D. BLOOD PRESSURE: 1. The Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. Pediatrics 2004;114:555-576. E. TB 1. AAP Technical Report: Starke JR and the AAP Committee on Infectious Diseases. Interferon gamma release assays for diagnosis of tuberculosis infection in children. Pediatrics 2014;134:e1763-e1773. F. ANEMIA 1. AAP Clinical Report: Baker RD, Greer FR and the AAP Committee on Nutrition. Diagnosis and prevention of iron deficiency and iron-deficiency anemia in infants and young children (0-3 years of age). Pediatrics 2010;126:5 1040-1050. G. ORAL HEALTH: 1. AAP Policy Statement: AAP Section on Oral Health. Maintaining and improving the oral health of young children. Pediatrics 2014;134:1224-1229. 2. AAP Clinical Report: Clark MB, Slayton RL and AAP Section on Oral Health. Fluoride use in caries prevention in the primary care setting. Pediatrics 2014;134:626-633. 3. AAP Clinical Report: Norwood KW, Slayton RL and AAP Council on Children With Disabilities and AAP Section on Oral Health. Oral health care for children with developmental disabilities. Pediatrics 2013;131:614-619. 4. Texas Medicaid Dental Providers: (877) 847-8377 H. VACCINES: 1. CDC:  HYPERLINK "http://www.CDC.gov/vaccines" www.CDC.gov/vaccines and  HYPERLINK "http://www.cdc.gov/vaccines/parents/index.html" www.cdc.gov/vaccines/parents/index.html 2. Immunization Information:  HYPERLINK "http://www.immunizationinfo.org" www.immunizationinfo.org 3. Immunize:  HYPERLINK "http://www.immunize.org" www.immunize.org 4. Immunize Texas:  HYPERLINK "http://www.ImmunizeTexas.com" www.ImmunizeTexas.com 5. AAP:  HYPERLINK "http://www.aap.org/immunization" www.aap.org/immunization 6. Vaccinate Your Baby:  HYPERLINK "http://www.vaccinateyourbaby.org" www.vaccinateyourbaby.org I. LEAD: 1. Texas Childhood Lead Poisoning Prevention Program (TCLPPP),  HYPERLINK "http://www.dshs.state.tx.us/lead" www.dshs.state.tx.us/lead 2. U.S. Environmental Protection Agency,  HYPERLINK "http://www.epa.gov/lead" http://www.epa.gov/lead J. DYSLIPIDEMIA 1. Kavey RW, Simons-Morton DG and de Jesus JM., eds. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report. 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