Guidelines for Managing Children with Blood Lead Levels ≥5 µg/dL

For all children whose capillary blood lead test results are ≥5 µg/dL, the Vermont Department of Health will:

Provide written lead information
Collect demographic information
Monitor retesting

Blood Lead Level in µg/dL	Primary Care Provider Services	VT Department of Health Services
5 – 9 capillary or venous tests	Retest in 6 months (venous test preferred) Provide lead education*	Education Offer phone consultation
10 – 19 venous tests only	Retest with venous blood lead test in 3 months Provide lead education * Test siblings <6 years of age	Case Management Provide educational home visit Conduct soil, water, and dust testing of home Report environmental findings and recommendations to parents and/or property owner Require lead hazard reduction if family lives in rental housing
20 – 44 venous tests only	Retest with venous blood lead test in 1 – 3 months Provide lead education* Test siblings <6 years of age Provide clinical management*	Case Management Provide environmental investigation and report findings and recommendations to parents and/or property owners Require lead hazard reduction if family lives in rental housing Coordinate activities with social services
45+ venous tests only	Initiate chelation therapy and provide clinical management * Retest with venous blood lead test in 7 – 21 days Provide lead education* Test siblings <6 years of age Coordinate with Department of Health on lead-safe housing	Case Management Provide environmental investigation and report findings and recommendations to parents and/or property owner Require lead hazard reduction if family lives in rental housing Coordinate activities with social services Help family secure lead-safe housing

* Contact the Childhood Lead Poisoning Prevention Program at 800-439-8550 for lead education materials or clinical consultation.

Lead Information