The Alabama Childhood Lead Poisoning Prevention Program (ACLPPP) strives to ensure children are protected from lead poisoning. This effort requires building and maintaining infrastructure to enable expansion upon the services already provided by the ACLPPP. This funding will allow us to strengthen the primary and secondary prevention strategies for childhood lead poisoning prevention and surveillance which include: 1) blood lead level testing and reporting, 2) surveillance of blood lead levels, 3) linkages of lead-exposed children to recommended services, and 4) policy development for targeted, population-based interventions with a focus on community-based approaches for lead hazard elimination.Strengthening the four identified prevention strategies will result in improvements in the health of children in Alabama less than six years of age who are the most vulnerable population to lead exposure. Program success will be measured by increasing blood lead testing and reporting rates for children in Alabama less than six years of age, improving data quality in surveillance systems for more reliable follow-up information, improving linkages and services to children less than six years of age with elevated blood lead levels, and decreasing lead hazards in housing occupied by the targeted population. Universal screening for all children less than six years old is desired; however, priority will be given to high-risk children disproportionately affected by lead exposure and lead poisoning, particularly those children living in areas that include: homes built before 1978; low-income or subsidized housing with suspected or known lead hazards; hazardous waste sites or industrial emissions containing lead; racial and ethnic minorities; and recent immigrants. While a core infrastructure is currently in place, this funding will allow the ACLPPP to improve upon the services already available to lead affected children and their families.