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Illinois Department of Public Health Childhood Lead Risk Assessment Questionnaire ALL CHILDREN 6 MONTHS THROUGH 6 YEARS OF AGE MUST BE ASSESSED FOR LEAD POISONING (410 ILLS 45/6.2) Name Today's Date
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How to fill out childhood lead risk assessment

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How to fill out childhood lead risk assessment:

01
Begin by gathering all necessary information about the child, including their age, address, and any previous lead exposure history.
02
Conduct a physical examination of the child, paying close attention to any visible signs of lead poisoning, such as developmental delays or neurological symptoms.
03
Administer a blood test to determine the child's lead levels accurately. This is usually done by taking a small sample of blood from the child's finger or vein.
04
Review the child's medical history and ask questions about potential lead exposure sources, such as the age and condition of the child's residence or any hobbies or activities that may involve lead exposure (e.g., pottery or shooting ranges).
05
Evaluate the child's environment for potential lead hazards, such as peeling paint, soil contamination, or household items containing lead (e.g., old pipes, imported toys, or traditional remedies).
06
Use an established scoring system or risk assessment tool to calculate the child's overall lead risk score based on their age, blood lead levels, and exposure history.
07
Determine the appropriate course of action based on the child's lead risk assessment score. This may involve further testing, referrals to specialists, or implementing lead mitigation measures in their environment.
08
Document all findings, recommendations, and actions taken during the childhood lead risk assessment process for future reference and follow-up.

Who needs childhood lead risk assessment?

01
Children living in older homes or buildings constructed before 1978 when lead-based paint was banned.
02
Children living in areas with known high levels of lead contamination in soil or water.
03
Children whose parents work in occupations with potential lead exposure, such as construction, painting, or battery manufacturing.
04
Children with siblings or playmates who have been diagnosed with lead poisoning.
05
Children living in low-income or disadvantaged communities with inadequate housing conditions.
06
Children who recently immigrated from countries where lead exposure is more prevalent.
07
Children displaying symptoms or developmental delays that could be attributed to lead poisoning.
08
Children with a history of pica (eating non-food items), as they may be more likely to ingest lead-containing objects.
Remember that it is always best to consult with a healthcare professional or local health department for specific guidelines and recommendations regarding childhood lead risk assessment and prevention measures in your area.
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Childhood lead risk assessment is a process to identify and evaluate potential sources of lead exposure in children.
Healthcare providers, schools, and childcare facilities are required to file childhood lead risk assessment.
Childhood lead risk assessment can be filled out by providing information about the child's living environment, potential sources of lead exposure, and any lead testing results.
The purpose of childhood lead risk assessment is to protect children from the harmful effects of lead exposure and to prevent lead poisoning.
Information such as the child's age, address, lead test results, and potential sources of lead exposure must be reported on childhood lead risk assessment.
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