| BLOOD LEAD (µg/dL)* | MANAGEMENT ** |
Blood Level
| Fingerstick Method
| Venous Method
|
Below 10 µg/dL | Screen at appropriate age, normally at 1 and 2 years of age.
| Screen at appropriate age, normally at 1 and 2 years of age.
|
No action from local Health Department.
| CLPPP Staff will provide:
- Follow up letter and educational materials
Physician to provide anticipatory guidance.
|
10 - 14 µg/dL
| Your child needs a venous blood test for confirmation within 1 month.
| Retest in 3 months with venous blood test.
|
CLPPP staff will provide: - Telephone consultation
- Facilitate a venous blood test for confirmation
| CLPPP staff will provide: - Telephone consultation and guidance
- Nutrition evaluation and lead exposure history
- Lead education literature
- Facilitate retest in 3 months
|
15 - 19 µg/dL | Your child needs a venous blood test for confirmation in 2 to 4 weeks.
| Retest in 1 to 2 months. If your child has a second blood lead test result in this range, CLPPP staff will proceed according to actions for blood lead levels between 20 - 40 µg/dL.
|
CLPPP staff will provide: - Telephone consultation
- Facilitate a venous blood test for confirmation
| CLPPP staff will provide: - Telephone consultation and guidance
- Nutrition evaluation and lead exposure history
- Lead education literature
- Facilitate retest in 1 to 2 months
|
20 - 44 µg/dL | Your child needs a venous blood test for confirmation in 1 to 2 weeks.
| Restest in 1 month.
|
CLPPP staff will provide: - Telephone consultation
- Facilitate a venous blood test for confirmation
| CLPPP staff will provide: - Telephone consultation and guidance
- Nutrition evaluation and lead exposure history
- Public Health Nurse home visit
- Medical case management
- Environmental investigation by a Registered Environmental Health Specialist (REHS)***
- Referral to California Children's Services
- Lead education literature
- Facilitate retest in 1 week to 1 month depending on blood lead level
|