Public Health Intervention for Lead Poisoning

Lead poisoning is a housing-based disease in Wisconsin, thus it requires housing-based solutions. While treatment of lead poisoning involves a team of professionals to manage the medical, environmental, and social care required by the child and family, public health plays a specific role in identifying and addressing the source of the lead exposure.

Public Health Nurses

Public health nurses address the response to the child and the family by:

  • Educating the family about lead poisoning prevention and nutrition.
  • Evaluating the child for attainment of developmental milestones.
  • Making appropriate referrals to other services.
  • Monitoring the child's blood lead level.
  • Coordinating the members of the response team.

Environmental Health Staff

Public health environmental staff address the response to the child's residence(s) by:

  • Evaluating the child in environments where he or she spends a lot of time.
  • Conducting lead hazard investigations of those places.
  • Writing work orders on properties to control lead hazards present.
  • Re-inspecting properties to determine if the lead hazards have been eliminated.

Standards of practice can be found in the Wisconsin Childhood Lead Poisoning Prevention and Control Handbook for Local Health Departments, listed in the first tab below. Forms to be completed by local health department staff for nursing and environmental case management can be found in the second tab. Tools and resources for educating about lead poisoning prevention for local health department staff and others can be found under the third tab.

Information on this page has been organized into three categories. Please choose one of the following tabs.

Handbook

This handbook encompasses the standards of practice of the Wisconsin Childhood Lead Poisoning Prevention Program and its agents, i.e., local health departments.

Handbook with Appendices P-00660 (PDF, 8 MB)

Chapter 1. The Wisconsin Childhood Lead Poisoning Prevention Program and Public Health Improvement Initiatives P-00660-1 (PDF, 147 KB)

Chapter 2. Standards and Legislation on Lead Hazards and Exposure P-00660-2 (PDF, 331 KB)

Chapter 3. Toxicology, Societal Costs of Lead Exposure, Sources and Routes of Lead Exposure P-00660-3 (PDF, 212 KB)

Chapter 4. Primary Prevention and Educating for Behavior Change P-00660-4 (PDF, 1.2 MB)

Chapter 5. Screening and Diagnosis of Childhood Lead Poisoning P-00660-5 (PDF, 109 KB)

Chapter 6. Nursing Case Management of a Child with Lead Poisoning P-00660-6 (PDF, 147 KB)

Chapter 7. Environmental Assessment and Intervention for a Child with Lead Poisoning P-00660-7 (PDF, 375 KB)

Chapter 8. Medical Management of Childhood Lead Poisoning P-00660-8 (PDF, 586 KB)

Chapter 9. Nutrition and Childhood Lead Poisoning P-00660-9 (PDF, 75 KB)

Chapter 10. Developmental Assessment and Intervention for a Child with Lead Exposure P-00660-10 (PDF, 99 KB)

Chapter 11. Lead Toxicity and Reproductive Health, Pregnant and Lactating Women and Fetal and Infant Development P-00660-11 (PDF, 1.1 MB)

Chapter 12. Reimbursement for Services to Children with Lead Poisoning Enrolled in the Wisconsin Medicaid Program P-00660-12 (PDF, 125 KB)

Appendix A. Forms P-00660-A (PDF, 295 KB)

Appendix B. Samples for Environmental Investigation and Lead Hazard Reduction P-00660-B (PDF, 5.1 MB)

For more information

Wisconsin Local Health Departments - Children with lead exposure are followed by Wisconsin local health departments. Health care providers and parents can locate the health department serving their community at this site.

Wisconsin Statutes and Administrative Rules - Wisconsin has a number of statutes and administrative rules with respect to childhood lead poisoning prevention, such as for local health departments, in child care centers and other facilities and in other departments.

Forms

The forms listed here are actually located in the DHS Forms Library. The links to the case management forms go to webpages where you can choose either a Word-fillable document or a PDF.

Blood Lead Lab Reporting F-00017 (Word, 22 KB)

Nursing Case Management Report/Case Management of Children with Elevated Blood Lead Levels F-44771A

Medicaid Targeted Case Management Face Sheet - Childhood Lead Poisoning F-44771AA

Nursing Case Closure Report/Case Management of Children with Elevated Blood Lead Levels F-44771B

Property Investigation Report/Case Management of Children with Elevated Blood Lead Levels F-44771C

Property Investigation Closure Report/Case Management of Children with Elevated Blood Lead Levels F-44771D

 

Tool and Resources

Lead-Free Kids for a Healthy Future: Tools and Resources for Community Awareness P-00554-2016 (PDF, 3.4 MB)

Report on Childhood Lead Poisoning in Wisconsin 2014 P-01202 (PDF, 1.4 MB)

Look Out for Lead - Parents - A tri-fold pamphlet in English P-44535A (PDF, 330 KB).

Look Out for Lead - Rental Property Owners P-44535B (PDF, 330 KB)

Wisconsin Childhood Lead Poisoning Prevention and Control Handbook for Local Public Health Departments P-00660 (PDF, 8 MB) or go to the Local Public Health Interventions page for individual chapters of the handbook.

Prevent Lead Poisoning: 5 Reasons to Hire a Lead-Safe Contractor P-00296 (PDF, 109 KB)

Protect Your Family from Lead in Your Home (PDF, 1 MB) - The pamphlet from the Environmental Protection Agency explains the dangers of lead in your home and how to protect your family from lead-based paint hazards. Paper copies of the Spanish version (P-49730S) of this pamphlet can be ordered online using the forms on this web page.

Renovate Right: Important Lead Hazard Information for Families, Child Care Providers and Schools, P-90000 - Paper copies of this pamphlet can be ordered online using the forms on this web page.

Blood Lead Testing and Lead Exposure 2011 - 2013 Data Report P-00665 (PDF, 365 KB)

Feeding Your Child -13. Eating Right: Preventing Childhood Lead Poisoning - A two-sided card in English P-44968 (PDF, 295 KB) and Spanish P-44968S (PDF, 641 KB).

Lead and Pregnancy - Paper copies of this pamphlet in English P-49299 and Spanish P-49299S can be ordered online using the forms on this web page.

Lead Safety Field Guide - Paper copies of this pamphlet in English P-45035 and Spanish P-45035S can be ordered online using the forms on this web page.

Legacy of Lead: Report on Childhood Lead Poisoning in Wisconsin, 2008 - Full report P-45109 (PDF, 4.1 MB) and summary P-45109A (PDF, 696 KB)

Ripple Effects of Childhood Lead Poisoning - interactive information-graphic from Lead-Safe Illinois website.

WCLPPP Standard for Home and Childcare Site Intervention to Address Lead Hazards toolkit P-00716 (PDF, 727 KB)

Your Child's Blood Lead Test Results  (PDF, 861 KB) - National Center for Healthy Homes, a fact sheet and checklist for parents

Blood Lead Levels in Children (PDF, 292 KB) - From the Centers for Disease Control and Prevention, a fact sheet with guidance for health care providers when talking with parents about their child's blood lead level.

Last Revised: September 27, 2016