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Childhood Lead Poisoning Case Management Services

Every blood lead test for a child is required to be reported to the child’s local health department. All children who live in the city of Milwaukee with a blood lead level at 5 micrograms per deciliter or higher will receive follow-up by the City of Milwaukee Health Department (MHD) Childhood Lead Poisoning Prevention Program (CLPPP).


CLPPP Nursing Program Service Goals

By providing services based on reported blood lead levels of children, the MHD seeks to:

  1. Ensure that the medical and health needs of lead-poisoned children and their families are met.
  2. Ensure that the child’s growth and development are assessed and monitored.
  3. Make appropriate referrals to medical or other service providers.
  4. Educate parents and caregivers, empowering them to manage their child’s health and prevent further lead exposure.

Childhood Lead Poisoning Prevention Program Intervention Schedule

After receiving a report of an elevated blood lead level, the MHD CLPPP will provide appropriate follow-up for families based upon the blood lead level reported.

If a child has had an elevated blood lead level reported from a capillary test (a finger stick), the MHD will require the child be re-tested with a venous draw (where blood is taken from the arm) to verify the first test result.

Blood Lead Result

City of Milwaukee Health Department Response

5 - 9 µg/dL

All Results / All Ages


Letter with test result mailed to family providing educational materials, prevention information, and contact information for MHD to provide further information.

 

10 - 19 µg/dL 

 

Child <73 months with Venous Draw


A Public Health Services Assistant conducts a home visit to provide educational information, conduct a walk-through home assessment, and conducts wet washing and/or HEPA vacuuming to remove immediate lead hazards.

These services are delivered in the client’s home until the service goals are met.

 

20 µg/dL and higher

 

Child <73 months with Venous Draw


A Public Health Nurse (PHN) Case Manager conducts a home visit to provide educational information, conduct a growth and development assessment of the child, and provides ongoing monitoring of the child. The PHN will coordinate closely with a Lead Risk Assessor who will inspect the child’s home for lead hazards.

These services are delivered in the client’s home until the service goals are met.

 

45 µg/dL and higher

 

All Results / All Ages


At this level, an immediate MHD lead poisoning response will be initiated.

A Public Health Nurse (PHN) Case Manager conducts a home visit to provide educational information, conduct a growth and development assessment of the child, and provides ongoing monitoring of the child. The PHN will coordinate closely with a Lead Risk Assessor who will inspect the child’s home for lead hazards.

These services are delivered in the client’s home until the service goals are met. 

 


Additional Information on Case Management and Treatment

Additional information can be found: