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Table of Contents      The AZ Childhood Lead Screening Policy     Lead Poisoning/Prevention


Health Effects


Pathways to Lead Exposure Sources of Lead Exposure


Childhood Lead Poisoning in AZ Anticipatory Guidance Blood Lead Screening Recommendations




Diagnostic Testing For Children w/ Elevated Blood Lead Levels


Follow-Up Testing For Children w/ Elevated Blood Lead Levels Reporting of Elevated Blood Lead Levels and Follow-Up Svcs


Comprehensive Follow-Up Svcs


Clinical Mgmt Environmental Case Follow-Up


Mgmt of Lead Hazards


References Appendix A


Appendix B [PDF 79K] (Acrobat Reader needed for viewing)


Appendix C-1 Appendix C-2
Diagnostic Testing For Children with Elevated Blood Lead Levels
 
A diagnostic test is the first venous blood lead test performed within 6 months on a child with a previously elevated blood lead level on a screening test. If the diagnostic test is not performed within 6 months, the next test is considered a new screening test, and decisions about follow-up testing should be made on the basis of the new test, and not on the basis of the original screening test.
 
Screen Readable Version
  
If the result of the screening test is: Perform diagnostic test on venous blood within:
10-19 µg/dL 3 months
20-44 µg/dL 1 month - 1 week
45-59 µg/dL 48 hours
60-69 µg/dL 24 hours
>70 µg/dL Immediately as an emergency lab test
 
It is relatively common for children to have slightly elevated screening test results that do not persist on additional testing. For this reason, it is preferable to base intervention on the results of diagnostic testing.

Consider performing the diagnostic test sooner than indicated in the accompanying schedule if:

  • The child is less than 12 months old, or
  • There is reason to believe that a child's blood lead level may be increasing.
blue rule A downloadable version of The Screening Policy & Guidance for Preventing Childhood Lead Poisoning in Arizona [PDF 586K] is available.   The download is in PDF format.  It is necessary to have Acrobat Reader on your machine to view the download. 

Permission to quote from or reproduce materials from this publication is granted when due acknowledgment is made.
  

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