Table 2 Council of State and Territorial Epidemiologists Management Recommendations for Adult Blood Lead Levels
Blood Lead Level (μg/dL) | Management Recommendations |
|---|---|
<5 | No action needed |
Monitor BLL if ongoing exposure | |
5–9 | Discuss health risks |
Minimize exposure | |
Consider removal for pregnancy and certain medical conditions | |
Monitor BLL | |
10–19 | Decrease exposure |
Remove from exposure for pregnancy | |
Consider removal for certain medical conditions or BLL > | |
10 for an extended period of time | |
Monitor BLL | |
20–29 | Remove from exposure for pregnancy |
Remove from exposure if repeat BLL in 4 weeks remains > 20 | |
Annual lead medical exam recommended | |
30–49 | Remove from exposure |
Prompt medical evaluation | |
50–79 | Remove from exposure |
Prompt medical evaluation | |
Consider chelation with significant symptoms | |
≥80 | Remove from exposure |
Urgent medical evaluation | |
Chelation may be indicated |