DCHD led the local response, including monitoring for exposed county residents, in cooperation with Memorial Hospital in Jasper, Indiana.
Complete information for exposed responders was not received by DCHD until 5 days into the response (on January 20), although preliminary information was provided earlier.
Subsequently, DCHD now provides indoor lead dust remediation, lead exposure reduction education, lead poisoning risk education, and blood lead level monitoring for children up to 84 months.
Among DCHD's 23,513 first-time laboratory reports received from January 1, 2010, to December 31, 2012, describing a previously unscreened child, the mean VBLC was 2.6 [micro]g/dL (SD = 1.43) and ranged from 0-68 [micro]g/dL among children less than 84 months.
DCHD staff members initiate an environmental investigation (EHA/LRA) in those dwelling(s) where 9.5 [micro]g/dL and higher VBLC reports arise.
At local clinics, DCHD trained staff to administer vaccines and established standing orders authorizing them to do so even in the absence of a physician or other approving practitioner.
DCHD also formed an immunization task force of community stakeholders that worked with hospitals to send nurses and physicians each week to immunize children at churches and other convenient locations.
On November 17, CDC investigators were deployed at the request of DCHD to assist with the response and data analysis and assess the cost to the health department for its response.
To assess the cost to DCHD during different phases of the response, data were split into three periods: 1) the initial period, from the first case notification to the declaration of the outbreak (September 26-October 26); 2) the outbreak period, when most of the cases were reported and DCHD worked to update control measures (October 27-November 5); and 3) the follow-up and reporting period, when DCHD implemented new control measures and observed reduced incidence of disease (November 6-21).
The Dallas County STD Program (DCSTDP) modified a previously used approach  to address needs specific to the target population in Dallas and to augment other STD intervention methods employed by the DCHD. To reach the high-risk population, the DCSTDP identified 21 sites for STD screening--predominantly crack motels and crack houses named by persons with early syphilis during interviews with disease intervention specialists.
The DCHD also developed cooperative agreements with social service and community-based organizations([unkeyable]) to provide comprehensive care for persons using crack cocaine.
Specifically, men who were clients of the DCHD
and who sought information on HIV/AIDS and materials relating to homosexual issues (which may also reflect a connection to homosexual or bisexual culture) used condoms more consistently compared with men who did not seek this information.