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EPSDT Care for Kids Newsletter

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Required Lead Assessment:
Protecting Iowa's Children


I. Determine the child's level of risk.

A child is at HIGH risk if the answer to ANY of the questions below is YES.

A child is at LOW risk if the answer to ALL the questions below is NO.

II. Test the child using a blood lead test. Test according to the chart below.

ALL children, both high risk and low risk,
must be tested using a blood lead test.

I. Determine the child's level of risk: Ask parents if any of these risk factors exist for their children:

1. Has your child ever lived in or regularly visited a home or childcare site built before 1960?

2. Have you noticed any peeling or chipping paint in or around the pre-1960 house that your child has lived in or frequently visited?

3. Is the pre-1960 house that your child has lived in or frequently visited being remodeled or renovated by:

  • Stripping, sanding, or scraping paint on the inside or outside of the house?
  • Removing walls and/or tearing out lath and plaster?
4. Does the child eat non-food items such as dirt?

5. Have any of your other children or their playmates had lead levels >= 15 mg/dL?

6. Does your child live with or frequently come into contact with an adult who works with lead on the job or as a hobby:

  • Battery plant worker
  • Battery recycling worker
  • Ceramics worker
  • Foundry worker
  • Old home renovator
  • Painter
  • Plumber
  • Scrap metal worker
  • Sheet metal worker
  • Shooting range worker
  • Stained glass worker
  • Welder

7. Does your child live near a battery plant, battery recycling plant, or lead smelter?

8. Do you give your child any home or folk remedies? (Examples: azarcon, greta, pay-loo-ah) See also "Traditional remedies that contain lead."

9. Does your child eat candy that comes from Mexico or is purchased from a Mexican grocery store? (Examples: picarindo, vero palerindas)

10. Has your child ever lived in Mexico, Central America, South America, Africa, Asia, or eastern Europe, or visited these areas for a period longer than 2 months?

II. Test the child using a blood lead test: After determining the risk classification, all children should be tested using a blood lead test according to the chart below:

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