Lead Around the Home

Texas Childhood Lead Poisoning Prevention Program
Texas Department of State Health Services

Lead Outside the Home

Painted Surfaces
– Older homes and buildings built before 1978 may have lead.

Doors
– Opening and closing doors can rub away the paint and create lead dust.

Soil
– Lead-based paint can enter the soil. The soil can still have lead from cars that used leaded gas before the 1980s.

Vinyl Mini-Blinds
– Non-glossy vinyl mini-blinds can have lead that sunlight and heat can break down to release lead dust.

Lead Inside the Home

Water Lines & Plumbing
-Lead solder can be used in water lines. Ask your water utility company for more information.

Window Sills
– Opening and closing windows can rub away the paint and create lead dust.

Baseboards & Walls
-Hammering or sanding walls with lead-based paint can create lead dust.

Stairs & Banisters
– When older painted stairs and banisters start to peel, it can create lead dust.

Important Information about your 9 month old

Family

Make sure to reserve time with your partner, friends, and yourself. If you’re going back to work or school, figure out a good childcare program (whether with a family member or daycare). Be prepared for the separation anxiety that happens when you first leave your child. Have some trial runs so that you are prepared for what this will feel like.

Development

Kids should be safely exploring their surroundings. Make sure to watch them at all times. You should be reading with your child. Engage your child with cause-and-effect games like toys with different sounds and textures, rattles, playing peek-a-boo, hiding and finding objects. TV, videos, and computers should be avoided. Be consistent and positive with routines and expectations (eg, Give a calm but firm NO if biting or putting hands in an outlet. Respond in a positive and encouraging manner when your baby is doing things you want them to do).

Health

Make sure and find a dentist. You should brush your baby’s teeth twice a day with a toothbrush and fluoride toothpaste in an amount no more than the size of a grain of rice. Your baby should be sleeping through the night. Remember that bottles and nursing at night can cause cavities. Introduce a cup to wean off of the bottle. Weaning can take many months, but gradually replace one bottle at a time with a cup. Have sleeping routines. No bottles in bed. Instead, try reading a book or playing music to get your baby to sleep. If you are breastfeeding put your baby to bed once done nursing. Do not allow your baby to fall asleep while nursing.

Nutrition

Continue with breast milk or formula with iron until 1 year old. Increase solids and table food (3 meals, 2 healthy snacks). No juice. New foods: It can take offering a new food 10-15 times before your baby will try it so do not assume they do not like it if they refuse the first time. Do not force food. Daily: Fruits (6-8 teaspoons), veggies (6-8 teaspoons), cheese and yogurt (4-6 teaspoons), small pieces of soft/pureed cooked meat, iron-fortified foods/baby cereal (6-8 teaspoons), whole grains (6-8 teaspoons).

Safety

Avoid walkers with wheels, keep home safe for babies (window guards on 2nd floor, stairgates, chemicals, cords, etc.) and keep one hand on or within reach of your baby, especially around water or in the bathtub. No smoking in the house or in the car. Small toys, plastic bags, and balloons can easily get stuck in your baby’s airways. Still use rear facing car seat.

After Hours and Weekends
After 4:00 PM and before 8:00 AM
For medical advice when People’s is closed call After Hours Nurse line at 512-478-4939

Download PDF here.

Poison Safety Tips for Baby’s Early Years

CONGRATULATIONS!

The Texas Poison Center Network would like to congratulate you on the birth of your child. We want to help you keep your child safe as he or she grows. This brochure contains safety tips for poisoning dangers your child will face during the first few years.

Take a moment and save the number for your local poison center in your cell phone, 1-800-222-1222.

0-6 Months

The most common problem at this age is with medicine.

  • Use measuring syringes or droppers given to you by your pharmacist or doctor. Give the right amount. Do you give a drop or a dropper-full?
  • If you are unsure, check with your pharmacist or doctor before giving the medicine.
  • Any amount over ½ teaspoon (2.5 mLs) should be verified with a doctor or pharmacist.
  • The amount of medicine to give your child is based on their age and weight.
  • Make sure your babysitter has clear instructions for giving medicine to your baby.

6-9 Months

Your baby is now crawling. To see what your baby can see, get on your hands and knees and crawl around the house. Here are some things you should pay attention to:

  • Cleaning products that are kept under cabinets need to be stored out of sight and out of reach.
  • Know the names of your indoor and outdoor plants. Take a leaf and picture to your local plant nursery to find out what it is, then call the poison center to see if the plant could be dangerous to your child.
  • Your baby now has access to the entire floor of your house. The things your baby might find are rat poison, insect bait, and medicine that was dropped by mistake.

9 MONTHS AND UP

Your child may be walking and climbing now, which means they could get into anything.

  • Medicine cabinets are now within reach. Remember child safety caps are not childproof.
  • Children have access to the entire yard. Remove all mushrooms, dangerous plants, and pesticide products from the yard.
  • Children love to get into parent’s things. Do not store medicine in your purse.
  • Remember children’s medicines like vitamins and cough syrups might taste great! If the child can get to this medicine, he may take it.
  • Teach your child that medicine is not candy.
  • Remember, a child’s “taste” is still changing. Just because it tastes bad to you, doesn’t mean it tastes bad to your child.

FOR THE BABYSITTER

Follow these steps if you suspect a child has been poisoned:

  • Take the product away from the child.
  • Check the baby’s mouth and gently remove any pills or liquids. Do not induce vomiting.
  • Call the Poison Center at 1-800-222-1222
  • Follow the advice the Poison Center gives you.
  • Tell the parents what happened and what steps you have taken.
  • Help parents make the house safe so the baby doesn’t get poisoned again.
  • Go to our website and look under Kids’ Corner to download “Babysitter Notes” to take with you when you baby sit.

The Magic of Everyday Moments (6-9 Months)

Remember, everyday moments are rich bonding and learning opportunities. Enjoy the magic of these moments with your child.

Six-month-olds are motivated, energetic, busy, opinionated and, for the most part, fabulous! They are on the verge of huge developmental strides — intellectual, emotional and physical — and they have many, many things they want to do. The challenge — for them and for you — is that they can’t yet do everything they have in mind. Their fingers aren’t working well enough for them to make objects do what they want. They don’t yet have the balance or coordination to stand up and walk, let alone crawl.

They’ve got so much to say, yet they don’t have the words. But they experience every imaginable feeling, sometimes all at once. Although there is great variation in development at this age, during the next 3 months many of the skills babies are eager to master will, in fact, kick in. Until then, they are likely to get frustrated often; and you will most likely bear the brunt of that frustration.

Somehow, you need to walk the line between doing things for your 6-month-old that she can’t do yet, and finding a way to help her do things for herself. If, for example, she wants to crawl toward a toy but finds herself moving backward instead of forward, you can sit behind her and place your palms against the soles of her feet. Then she might be able to push herself forward and get it for herself. Of course, there’s always the possibility that she’ll be mad if you do that, because what she really wants is to do it on her own. But hang in there — if you’re patient, she’ll learn patience and persistence, too.

Tips for your 5-6 month old baby

HELP ME BE HEALTHY.

At this checkup:

  • The nurse will weigh and measure me. I will get a check-up.
  • I will get the next set of vaccines. Write down the date of these vaccines in my health journal. If I had a reaction to the vaccines before, tell the doctor.
  • I should get a flu shot in the fall.
  • The doctor might check my eyes for crossed eyes or a lazy eye.
  • I might get a blood test to see if I have enough iron in my blood.
  • Ask about my eating habits. Tell the doctor when and how much I eat.
  • If I need them, I will get hearing aids. I might get help from my nearby Early Childhood Intervention program. An audiologist will check my hearing every few months until I’m a year old, and after that, every six months.
  • Ask if I need fluoride supplements to help my teeth. Ask about my eating habits. Describe when and how much I eat.

Start feeding me vegetables and fruits.

At 6 months, I’m old enough to try vegetables and fruits. Start with veg­etables. Try an orange vegetable like squash or sweet potatoes first. Give me only one new food each week. This way, if I have an allergy, you will know what food caused the allergy.

TAKE CARE OF MY TEETH.

  • Start planning for my first dental visit for when I’m 6 months old or when my first tooth comes in.
  • Call your dentist or a dentist just for me and set up my first visit.
  • As soon as my teeth come in, gently brush my teeth with a little, soft-bristled tooth­brush and some water.
  • I should not have toothpaste now.

If you don’t have health insurance for me, call the Children’s Health Insurance Program (CHIP) toll-free at 1-877-543-7669 (1-877-KIDS-NOW) to find out about children’s health insurance.

KEEP ME SAFE.

When we ride in the car, put me in a car seat with the straps on right.

  • My car seat is the safest place for me when I’m in the car.
  • Until I’m a year old and weigh 20 pounds, my car seat should be in the back seat of the car and placed so I look out the back window.
  • If you have questions about my car seat or how you put it in, call Safe Riders toll-free at 1-800-252-8255.

Put gates at the stairs so I don’t go up or down the stairs. After you make our house safe for me, teach me to be safe.

  • Tell me what you want me to do, over and over. Don’t get tired of telling me. I’m too young to remember.
  • Until I learn what to do, take me away from the place I shouldn’t be or take away the thing I shouldn’t be playing with. Get me interested in something else. Don’t slap my hands or hit me. Try not to yell at me, either.
  • Tell me, hug me, and praise me when I do what you want.

Help me use the high chair safely.

  • Put the safety belt on me when I’m in the chair.
  • Be sure the tray is locked in place. Make sure my hands are out of the way when you lock the tray in place.
  • Be sure there are no sharp edges to cut me or you
  • Don’t let me stand in the chair.
  • Don’t leave me alone in the chair.
  • Don’t leave the chair too close to a table or counter. I can push on the table and tip my chair over.

PLAY WITH ME, IT HELPS ME LEARN.

  • Talk to me in complete sentences. Tell me what you are doing. Make sounds for me to copy like “eee,” “uh-oh,” and “aaa.”
  • Tell me about a toy and show me how to use it. I will want to look at it, smell it, chew it, squeeze it, pat it, and bang it.
  • Put a favorite toy just out of my reach. Help me move to get to it.
  • Hide a toy under a cloth so I can look for it.
  • I like to use blocks that I can hold in my hands.
  • Read to me. Point to the pictures as you tell me about them.

Each child grows and changes at a different rate.
I might do some activities earlier than others. Playing with me helps me learn new things. If you are worried about what I do, talk to my doctor or nurse or call the OARS Help Line toll-free at 1-800-628-5115.

Watch for me to:

  • Pick up my head and chest when I’m on my stomach. I can hold myself up with my arms.
  • Stand up if you hold me under my arms.
  • Roll from my stomach to my back or from my back to my stomach.
  • Notice small things that are placed in front of me.
  • Reach for toys or other interesting things near me.
  • Squeal and make high pitched sounds when I’m happy.
  • Start to have my teeth come in.
  • Lie on my back and look at my hands. I can bring my hands together over my chest or at my mouth.

Poison Prevention

POISON PREVENTION:

Step 1: Make your home poison proof
Step 2: Be careful with medicine
Step 3: Know the Poison Control Center number and call it!

You can call 24 hours a day, 365 days a year.
Poison Control Center: 1-800-222-1222

Make your Home Poison-Proof

Bedroom
  • No medicine on the nightstand
  • Keep perfume, lotions, cosmetics out of reach
Bathroom
  • No cleaners under the sink
  • Keep medicine, perfume, cosmetics, soap, hair products, mouthwash, and toothpaste out of reach
Kitchen and Living Area
  • No household cleaners under sink or stored near food
  • Keep vitamins out of reach
  • Leave all products in their original containers
  • Purses out of reach
  • Alcoholic beverages out of reach
  • No rat or insect poison in areas where children play
Laundry
  • Keep bleach, detergent, and fabric softener out of reach
Garage and Outside
  • Gasoline, paint, Turpentine, paint thinner, lighter fluid, bug sprays/powders, weed killers, fertilizers in a locked cabinet
  • Car products out of reach
  • Teach children not to eat mushrooms or toadstools growing in the yard
  • Know the poisonous plants in your yard!
  • If you treat your yard with pesticides, have children wait 24 hours to play outside

BE CAREFUL WITH MEDICINE

  • Keep all medicine out of reach from children and in its original container
  • Do not keep medicine in purses, or keep purses out of reach
  • Do not call medicine “candy” or take medicine in front of children as they love to copy you.
  • Use a measuring syringe or dropper given, do not guess
  • Give the right amount by following written directions, call the pharmacist if unsure
  • Make sure babysitters or caregivers have clear instructions for giving medicine

If your child has swallowed or come in contact with poison: Do not wait and call immediately!

Have the container when you call.
Do not have anyone throw up unless advised by the Poison Control Center

Protect your children from lead poison

LEAD IS POISON TO:

  • Red Blood Cells
  • Kidneys
  • Reproductive Organs
  • Bones
  • The Brain
  • Even Children Who Are Not Born Yet!
  • Children, Especially Under the Age of 6

LEAD IS FOUND IN:

  • Some Peeling Paint
  • Batteries
  • Lead Pipes
  • Bullets and Lead Weights
  • Folk Remedies
  • Food Grown in Contaminated Soil
  • Lead-Glazed Pottery or Pewter Dishes

YOU CAN PROTECT YOUR CHILD!

  • Have your child’s blood tested for lead.

Peeling Paint

  • Cover areas that have peeling paint with paneling, wallpaper, or sheet-rock
  • Do not remove peeling lead-based paint yourself. Lead dust can be deadly if you breathe it in.

Food

  • Feed your child three healthy meals and two nutritious snacks each day. Your child’s stomach absorbs more lead when it is empty.
  • Give your child foods high in iron (like beans, fortified cereals, and raisins) and calcium (like milk, yogurt, and cheese). Calcium and iron help keep lead out of your child’s blood.
  • Wash fruits and vegetables before eating. Wash hands before meals.

Other

  • Do not use water from the hot tap for drinking, cooking, or preparing infant formula.
  • Do not cook or store food in cans, pottery, ceramics, or leaded crystal. Some cans have seams made with lead. Some pottery (including Mexican beanpots), ceramics, and crystal also contain lead.
  • Do not let your children play near abandoned autos or with automobile batteries or radiators.
  • Plant grass and shrubs over bare dirt in the yard.
  • Damp-mop floors often and clean surfaces with a strong household cleaner.

Who can I call if I have questions about lead?

  • Your local health department
  • Your doctor
  • Texas Childhood Lead Poisoning Prevention Program at 1-800-588-1248

Tips for your 3-4 month old baby

HELP ME BE HEALTHY.

At this checkup, the doctor will:

  • Weigh and measure me.
  • Check me from head to toe to see:
    • How I move.
    • How well I hear.
    • How well I see.
  • Give me a few vaccines. Remember to write them in my health journal.

FEED ME AND TAKE CARE OF MY TEETH AND GUMS.

  • Ask the doctor or WIC nutritionist about eating cereal at 4 months. Rice cereal is the first cereal I should try. Please feed me my cereal from a spoon. Don’t put it in a bottle.
  • Hold me while I drink my bottle. It makes me feel safe and loved.
  • Don’t put me in my crib and prop the bottle up for me. I could spit up and choke.
  • Don’t put me to bed at night with a bottle. If I have a bottle in my mouth all night, the milk or juice could decay my new teeth.
  • Holding me at feeding time makes me feel secure and loved.
  • Clean my mouth with a soft, moist washcloth – even before I get my first teeth.
  • Once my teeth start coming in, use a very soft, infant-sized toothbrush to brush my teeth.

KEEP ME SAFE.

  • It’s time to make our house safe for babies. Look at it from my eye level. Crawl on your hands and knees and look around. Take away or move anything that I can reach or that could hurt me when I crawl around. Keep me away from cords of all kinds: telephone cords, drap­ery cords, and electric cords. Cover the electric outlets and put safety latches on the doors.
  • Keep me away from cigarette and cigar smoke. It makes it harder for me to breathe.
  • Make sure that the toys, pacifiers, and other things you give me are safe for me. They should not have any sharp edges or loose pieces. Toys should be big enough that I cannot fit them into my mouth.
  • Use the safety strap and keep the baby seat on the floor and away from steps or other dangers. I’m now strong enough to wiggle out of the baby seat or tip it over.
  • Never leave me alone on a bed, sofa or changing table, or in a walker or cub.
  • Keep me away from hot liquids like coffee, tea, and soup. When you’re holding me, don’t try to drink anything hot. A hot liquid could spill on me and burn me badly.
  • Keep balloons away from me. If a balloon covers my mouth, I can’t breathe.

PLAY WITH ME, IT HELPS ME LEARN.

Baby on blanket with mobile

 

  • Play “Talking back and forth.” First, I make a noise and you listen. Then, you make the same noise and I listen. We can do this many times.
  • Put me on my back and let me reach for toys hanging from the sides of my crib or playpen. Make sure these are tied tight so they won’t hurt me.
  • Read to me. I like rhyming words and stories that are short.
  • Play Peek-a-boo with your hands or a blanket.
  • Hold a rattle or toy in front of me. Move it to get my attention. Then let me try to keep my eyes on it while you move it from one side to the other, up and down, and in circles. This helps me use both eyes.
  • Let me babble to you.

WATCH HOW I GROW.

New things are happening to me.

When something new happens to me, I might fuss. Change is hard for me. You could get confused and angry with me. What I really need is for you:

  • To be patient.
  • To show me new things, new people, and new situations very slowly.
  • To let me try three or four times to get used to something new. I might like it better the second or third time I try it.

Each child grows and changes at a different rate.

Help me learn new skills by playing with me. Most babies have the following skills at the end of 4 months. If you are worried, talk to my doctor or nurse. To find a nearby Early Childhood Intervention program, call the DARS Help Line toll-free at 1-800-628-5115.

Watch for me to:

  • Smile at you.
  • Hold up my head without bobbing it around when I sit in your lap.
  • Hold a small toy, like a rattle, for a few seconds in my hand if you place it in my hand.
  • Laugh out loud.
  • Say “oo,” “aah,” and other vowel sounds. Sometimes I say these sounds fast.
  • Sometimes I say them slow and kind of sing them.
  • Hold my head all the way up and rest on my arms when I’m on my stomach.
  • Recognize sounds I hear a lot, like your voice, the sound of a favorite toy, or running water.
  • Let you know I recognize you as a special person. I get excited when I see people I know or my bottle.

Domestic Violence is a Crime

Domestic Violence is a Crime

It may begin gradually as verbal or emotional attacks. It can start when your pregnant or when your baby is born. However, domestic violence is not okay.

What is Abuse?

  • Emotional Abuse
    • Constant criticism and jealousy
    • Making you feel bad and blaming you for when you are not at fault
    • Being lied to, punished, or threatened
  • Isolation
    • Preventing you from seeing friends or family
    • Your partner is very jealous of anyone else in your life
  • Threats
    • Your partner threatens your family, friends, pets, or property
  • Economic Abuse
    • Your control over money or income is threatened
  • Physical Abuse
    • Pushing, slapping, kicking, biting, restraining, use of weapon against your, or having things thrown at you
  • Sexual Abuse
    • You are forced to have sex or your partner refuses to practice birth control
  • Property Destruction
    • Smashing, destroying, stealing, or damaging things you value

Truths About Abuse

  • No one deserves abuse
  • Domestic violence is not mutual – it is not just an argument or a lover’s quarrel.
  • People who stay in abusive relationships do not enjoy violence – leaving is not simple, some people are too frightened while others hope the abuse will stop.
  • Abuse can be found in all parts of the community – people from any social group can be abused.
  • There is no excuse for violent behavior – violence is a choice, the abusive person is responsible for their actions.

This brochure is based on information provided by Safe Place.

Baby Blues

Where to seek help?

Postpartum Depression Hotline: 1-800-773-6667 (24-hour hotline)

Any Baby Can – Postpartum Support and Groups: 512-334-4444 (Parent Helpline); 512-454-3743 (Main phone)

Postpartum Support International: 1-800-944-4773

2-1-1 Texas from your cell phone: 1-877-541-7905

Postpartum Support International: www.postpartum.net

DSHS Pregnancy, Parenting and Depression Resource List

The National Women’s Health Information Center: www.womenshealth.gov

Parents Anonymous: www.parentsanonymous.org

Depression During and After Pregnancy

The Online PPD Support Group: www.ppdsupportpage.com