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Lead Program Case Management

All City of Milwaukee children reported with capillary or venous blood lead levels equal to or greater than 5 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) Childhood Lead Poisoning Prevention Program (CLPPP) Intervention Schedule.


CLPPP Nursing Program Service Goals
 

  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.


CLPPP Intervention Schedule Based on Blood Test Results
 

Children with a venous blood lead level 15 - 19 µg/dL aged 0 - 72 months require an Early Intervention home visit by an HSA.

  • The HSA provides education, conducts a walk-through environmental assessment, and conducts wet washing and/or HEPA vacuuming to remove immediate lead hazards.
  • Direct services are delivered in the client's home until the service goals are met.

Children with a venous blood lead level of 20 µg/dL or higher require a home visit and multi-service coordination by a PHN.

  • The PHN provides education, conducts a growth and development assessment on the child, and provides ongoing monitoring of the case.
  • The PHN collaborates closely with a Lead Risk Assessor who inspects the child's environment for lead hazards.
  • The PHNs are supported by a by a PHN Lead Coordinator.
  • Direct services are delivered in the client's home until the nursing service goals are met.

Families of children who do not meet the criteria for either case are provided educational materials by mail.

 Blood Lead Result

Milwaukee Health Department Response

5 - 14 µg/dL All Results / All Ages
  Letter with test result mailed to family
15 - 19 µg/dL  Child <73 months with Venous Draw
  Public Health Services Assistant Home Visit
20+ µg/dL Child <73 months with Venous Draw
  Public Health Nurse Case Manager Home Visit
  Environmental Health and Lead Risk Assessment
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.