Childhood Lead Poisoning Prevention Program

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Lead Poisoning Prevention for Health Care Providers

State Blood Lead Testing Regulations

Pursuant to California Code of Regulations Title 17, healthcare providers are responsible for performing the following actions during periodic health care assessments on children aged 6 months to 6 years:

Anticipatory Guidance

Provide oral or written guidance to a parent or guardian of the child starting at 6 months of age and continuing to 72 months of age, including, at a minimum, information that children can be harmed by exposure to lead, especially deteriorating or disturbed lead based paint and the dust from it, and are particularly at risk of lead poisoning from the time the child begins to crawl, until 72 months of age (6 years). 


Screen 

(Initial blood draw for child not previously identified with an elevated blood lead level) 

Children in publicly funded programs* at both 12 months and 24 months of age.

Children in publicly funded programs* age 24 months to 6 years who were not tested at 24 months or later.

*Examples include Medi-Cal, WIC, and Targeted Low Income Children’s Program (TLICP)(formerly known as Healthy Families) 

Assess 

(If child is not in publicly funded program)

Ask, “Does your child live in or spend time in a place built prior to 1978 that has peeling or chipped paint or that has been recently remodeled?”

If the answer is “yes” or “don’t know” order a blood lead test.


Other Indications to screen

  • Change in circumstance has placed child at risk of lead exposure
  • Parental request
  • Suspected lead exposure 


Medi-Cal and low-income children can get free medical checkups, including a blood lead test. For information call the Child Health and Disability Prevention Program (CHDP) at (619) 692-8808.

California Code of Regulations Title 17 Screening for Childhood Lead Poisoning

 

Lead Updates
Our provider newsletter with important information and updates about childhood lead poisoning prevention for health care professionals.

Lead Update
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For more information, contact the Childhood Lead Poisoning Prevention Program at (619) 692-8487 or send us an e-mail.