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Lead Program Case Management

All City of Milwaukee children reported with capillary (fingerstick) or venous blood lead levels equal to or greater than 10 µg/dL receive CLPPP follow-up services. Children receive nursing services from either a Public Health Nurse (PHN) or a Health Services Assistant (HSA) according to the City of Milwaukee Health Department (MHD) Chidlhood Lead Poisoning Prevention Program (CLPPP) Intervention Schedule (see below). 


CLPPP Nursing Service goals are:
 

  1. Ensure that the medical and health needs of lead poisoned children and their families are met.

  2. Ensure a lead poisoned child's growth and development are assessed and monitored.

  3. Ensure appropriate referrals are made.

  4. Educate parents and caregivers, empowering them to appropriately manage their child's health, resulting in prevention of further lead exposure.


Children with a venous blood lead level of 15 µg/dL or higher or children 0-36 moths with a capillary blood lead level of 20 µg/dL require multi-service coordination by a PHN assigned to the CLPPP. The PHN collaborates closely with an Environmental Lead Risk Assessor who inspects the child's environment for lead hazards. The PHNs are supported by a by a PHN Lead Coordinator and a PHN Supervisor. Direct services are delivered in the client's home until the nursing service goals are met, if possible.

Children age 0-72 months with a venous blood lead level 10-14 µg/dL or a capillary blood lead level 10-19 µg/dL receive an Early Intervention home visit by an HSA, which includes education, a walk-through environmental assessment, and wet washing and/or HEPA vacuuming to remove immediate lead hazards. Children 37-72 months with a capillary blood lead level of 20 µg/dL or higher also receive this Early Intervention home visit.

Families of children who do not meet the criteria for a new case or an early intervention case are provided educational materials by mail. 


Interventions Based on Blood Test Results

 

 Blood Lead Result

Milwaukee Health Department Response

   
< 10 µg/dL All Results / All Ages
  Letter with test result mailed to family
10-14 µg/dL All Results / All Ages
  Letter with test result mailed to family
10-14 µg/dL  Child <73 months w/ Capillary or Venous Draw
  Educational visit and related resources may be provided by Health Services Assistant
15-19 µg/dL Venous Draw
  Public Health Case Manager Home Visit
  Environmental Health Risk Assessment
 15-19 µg/dL Child <73 months w/ Capillary Draw
  Educational visit and related resources may be provided by Health Services Assistant
20-44 µg/dL Venous Draw or Child <73 months w/ Capillary Draw
  Public Health Case Manager Home Visit
  Environmental Health Risk Assessment
 20-44 µg/dL Child 37 - 72 months w/ Capillary Draw
  Educational visit and related resources may be provided by Health Services Assistant
45+ µg/dL All Results / All Ages
  Immediate Milwaukee Health Department lead poisoning response
  Public Health Case Manager Home Visit
  Environmental Health Risk Assessment

 

For further information contact the Childhood Lead Poisoning Prevention Program at 414-286-5987.