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39 Clearinghouse Rev. 1 (2005-2006)

handle is hein.journals/clear39 and id is 1 raw text is: Co ntents
About This Issue ................................. Inside Front Covel
Poisoned by Poverty: A Call to Improve Health Outcomes for
Low-Income and Minority Children ................................ 4
By Marcheta Lee Gillam, Steven Fischbach, and Ralph Scott
Often exposed to environmental toxicants in their homes, schools, and communities,
children are generally more susceptible to harm from such exposure than adults. Lawyers
in legal services can protect children and their families from toxic exposure, particularly
the more frequent and more severe ones occurring in low-income and minority commu-
nities. They can advocate precautionary approaches toward environmental risks and
meaningful community involvement in decision making that affects the health of chil-
dren. The National Environmental PolicyAct and the Civil Bights Act of 1964 are key laws
for children's environmental health and environmental justice issues.
School Location Matters: Preventing School-Siting Disasters ........... 13
By Steven Fischbach, Lois Marie Gibbs, and Stacey Gonzalez
Siting new schools on cheap, polluted land is tempting to many cash-strapped school
districts, particularly districts serving largely low-income and minority children,
but the ultimate cost to children's health and the public fisc is great. Few states have
adequate laws to prevent districts from siting schools on or near environmental haz-
ards, or adequate mechanisms for public participation in school-siting decisions.
Nonetheless, through early intervention in school construction planning, legislative
advocacy, and, where necessary, litigation, legal aid advocates can help prevent poor
school-siting decisions or minimize their harmful effect on children's health.
Strategies to Improve Medicaid Screening and
Treatment for Lead Poisoning ................................... 26
By Anne M. Wengrovitz and Manjusha P. Kulkarni
A current policy of the Centers for Medicare and Medicaid Services requires all state
Medicaid programs to conduct blood lead tests for all young children as part of the Early
Periodic Screening, Diagnostic, and Treatment program, and national data show that
Medicaid children are at increased risk of lead exposure. Still, some states seek permis-
sion to implement selective screening. Creative advocacy is needed to ensure that state
Medicaid programs meet the needs of Medicaid children at risk of lead poisoning.
02005 by Sargent Shriver National Center on Poverty Law
All rights reserved. ISSN 0009-868X. No part of this publication may be reproduced, stored in a retrieval
system, or transmitted, in any form or by any means, electronic, mechanical photocopying, recording,
or otherwise, without the prior written permission of the publisher.

Iprinnhniip RFVIFW lournal of Poverty Law and Policy * May-June 2005

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