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PEHSU Factsheet: Recommendations on Management of Childhood Lead Exposure > Summary of Key Points

Summary of Key Points

posted on Sep 21, 2021
  • There is no safe level of lead in the blood.
  • The ultimate goal is removal of the lead source before exposure (primary prevention).
  • “Screening” is a risk assessment conducted via questionnaire; “testing” is performed via blood test (either venous or capillary).
  • Screening is recommended for all children at 6, 9, 12, 18, and 24 months, and 3, 4, 5, and 6 years of age.
  • Testing is required at 12 and 24 months for children on Medicaid and/or in high-risk areas or risk factors requiring universal blood tests as defined by state health departments.
  • Test all children in the same household if there is an elevated blood lead level (BLL) for one of the children.
  • Lead exposure can be viewed as a lifelong exposure, even after BLL decline.