Rapid Environmental Health Response to High Venous Blood Lead Concentrations in a Child Less Than 6 Years Old: A Local Health Department Perspective


On October 2, 2014, the Douglas County Health Department (DCHD) Lead Poisoning Prevention Program (LPPP) received a 61 μg/dL venous blood lead concentration (VBLC) report describing a 3-year-old female refugee. A VBLC above 45 µg/dL in a child less than 72 months requires an aggressive medical and lead hazard exposure intervention because encephalopathy risk is increased. To achieve these intervention objectives, LPPP managers must determine which LPPP stakeholders can respond, contact the parent/guardian and property owner, alert the LPPP stakeholder network, assess lead hazards in the victim’s environment, ensure the victim has a lead-safe dwelling, and monitor critical medical (e.g., treatment prognosis, VBLC reports, treatment discharge date, etc.) and environmental interventions (e.g., assure all lead-safe environment tasks are completed). This special report describes the DCHD protocol developed to ensure rapid environmental health responses to severe pediatric lead poisoning.


Speaker / Author: 
Larry W. Figgs, MPH, PhD, REHS/RS, Douglas County Health Department
Amy Bresel, DC, Douglas County Health Department
Khari Muhammad, Douglas County Health Department
Month Year: 
July 2018
Page #: 
Publication Month: 
July/August 2018
EH Topics: