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Elevated Blood Lead Levels

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Home - National Notifiable Diseases Surveillance System
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2010 Case Definition

CSTE Position Statement Number 09-OH-02

Elevated Blood Lead Levels, Children (<16 Years)
Elevated Blood Lead Levels, Adult (≥16 Years)

Elevated Blood Lead Levels, Children (<16 Years)

Laboratory criteria for diagnosis

Blood lead concentration, as determined by a CLIA-certified facility, ≥10 µg/dL (0.48 µmol/L) in a child (person < 16 years of age)

Case classification

Suspected: a single capillary blood specimen with elevated lead concentration

Probable: two capillary blood specimens, drawn greater than 12 weeks apart, both with elevated lead concentration

Confirmed: one venous blood specimen with elevated lead concentration, or two capillary blood specimens, drawn within 12 weeks of each other, both with elevated lead concentration


Elevated Blood Lead Levels, Adult (≥16 Years)

Laboratory criteria for diagnosis

An adult blood lead level that should be maintained under surveillance by the NPHSS is defined as an adult (≥16 years) with a venous (or comparable) blood lead concentration ≥10 µg/dL (0.48 µmol/L) of whole blood

Case classification

Confirmed: one venous (or comparable) blood specimen with elevated lead concentration

Elevated blood lead levels, as defined above, should be used for the purposes of surveillance only to apply standard criteria for case classification and may not correspond to action levels determined by individual programs or providers.

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This page last updated November 17, 2011

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