Programs to test for lead focus on finding children or adults who are
likely to be exposed to
lead. These programs, developed by the U.S. Centers
for Disease Control and Prevention (CDC), advise local and state agencies to
determine which geographic areas are the most likely to be at risk for lead
exposure. Age of housing is an important factor in determining risk because
older homes tend to have lead-based paint. If lead exposure is likely, then
blood tests for infants and young children will be recommended to measure blood
lead levels.
Individual testing can be done by your health professional. During a
routine health exam, the risk for lead exposure can be evaluated by answering
questions about family members' living and working conditions. The health
professional may then decide whether blood lead levels should be
measured.
Adults
The U.S. Occupational Health and Safety Administration (OSHA)
requires companies to test the blood of employees who work with lead. OSHA sets
industry standards to protect workers.
Adults who do not work with lead usually are not tested for lead
poisoning. If you are pregnant or trying to become pregnant and you or a family
member works with lead, you may want to ask your health professional about your
risk for lead poisoning. The U.S. Preventive Services Task Force
(USPSTF) does not recommend routine testing of blood
lead levels in pregnant women who don't have symptoms.1
Children
Children should be tested, no matter what their age, if they have
been exposed to lead or if they have symptoms that could be caused by lead
poisoning.
If the answers to the following questions are "yes" or "I don't
know," a
lead test may need to be done.
- Does your child live in or regularly visit a
house or building that was built before 1978? This question could apply to a
facility such as a home day care center or the home of a babysitter or
relative.
- Does your child have a sibling or playmate who now has
or has had lead poisoning?
- Does your child live in or regularly
visit a house built before 1978 that has recently been (within the last 6
months) or is currently being renovated or remodeled?
Children should be tested, no matter what their age, if they have
been exposed to lead or if they have symptoms that could be caused by lead
poisoning.
In 2007, the U.S. Consumer Product Safety Commission (CPSC) found
high lead content in many children’s toys and jewelry made in other countries.
For a complete list of recalled products, see the CPSC Web site at
www.cpsc.gov.
The USPSTF does not recommend:1
- Lead poisoning testing for children ages 1 to 5 who don't have
symptoms and do not have an increased risk.
- For or against routine
testing in children ages 1 to 5 who have a greater risk for higher blood lead
levels and don't have symptoms.
Many state and local health departments can provide information on
testing recommendations in your area.
For more information, see the topic Lead Poisoning.