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DOH 334169 November 2022Investigation of Children with Elevated Blood Lead Levels (EBLL) Case Reported to LHJ: LHJ notification date Investigation start dateDate:Client Information:Case Childs Name
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How to fill out child blood lead investigation

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How to fill out child blood lead investigation

01
Obtain the Child Blood Lead Investigation form from your local health department or relevant authority.
02
Fill in the child's personal information, including name, date of birth, and address.
03
Document the child's medical history related to lead exposure, including any known sources of lead in the environment.
04
Record the results of any previous blood lead tests if applicable.
05
Include information about the child’s household, particularly if they live in an older home or have access to areas with potential lead exposure.
06
List any symptoms or signs of lead poisoning that the child may be experiencing.
07
Sign and date the form to ensure its validity, then submit it to the appropriate health authority.

Who needs child blood lead investigation?

01
Children under the age of six, particularly those living in older homes or exposed to lead.
02
Children experiencing symptoms of lead toxicity.
03
Children who are in high-risk environments, such as those near industries that handle lead materials.
04
Children who have been in contact with lead-containing products, such as paint or toys.
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A child blood lead investigation is a systematic assessment aimed at identifying children with elevated blood lead levels, determining sources of lead exposure, and taking necessary public health actions to prevent further exposure.
Health care providers, laboratories, and public health officials are typically required to file a child blood lead investigation when a child is tested for lead exposure and found to have elevated blood lead levels.
To fill out a child blood lead investigation, healthcare providers must complete designated forms, including details such as the child's demographics, the date of the blood lead test, the results, and potential sources of lead exposure.
The purpose of the child blood lead investigation is to identify children at risk for lead poisoning, to monitor lead exposure trends, and to implement interventions to reduce lead exposure and protect children's health.
Information that must be reported includes the child's name, date of birth, address, lead test results, date of the test, and any known or suspected sources of lead exposure.
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