Local Public Health Authorities

Lead Screening Protocols and Questionnaires

• Lead Screening Protocols for Children (pdf) - Fact sheet summarizing Oregon's Lead Screening Plan
• Questionnaires: 
• Clinic staff questionnaire (pdf) - Administered by clinic staff
• Parent questionnaire - Completed by parents/guardians
  English (pdf), Spanish (pdf), Russian (pdf), Vietnamese (pdf)

Case Management

The following are resources for local public health authority professionals working to provide lead exposure case management. The blood lead level that triggers case management for children is 3.5 ug/dL (OAR 333-017(6)).

• Recommended Actions Based on Blood Lead Level - Summary of recommendations for follow-up and case management from the CDC
  
• Medical information form (pdf) - Completed by child's medical provider
• Management of Childhood Lead Exposure - Guidance on best practices from the Pediatric Environmental Health Specialty Units (PEHSU)

• Early Intervention/Early Childhood Special Education (EI/ECSE) Referral - Children diagnosed with lead poisoning may be eligible for EI/ECSE services.
• WIC rack card (pdf) - Eligibilty information for families with lead-exposed children
• Health-Related Services for OHP Members (English) (Spanish)
  
• Childhood Lead Poisoning Case Management & Investigation webinar (pptx) - From 1/4/2023 Orpheus webinar series. (This presentation references a blood lead level of 5 ug/dL; Oregon's case definition is 3.5 ug/dL)
  

More case management resources...

Environmental Investigation

• Environmental investigation procedures (pdf)
• Investigation questionnaire (pdf) - to be administered when a child's confirmed blood lead level is 3.5 ug/dL or higher
  
• HUD Fillable Form 16.1 Resident Questionnaire for Investigation of Children with Elevated Blood Lead Levels (EBLLs) (Word)(PDF)
• HUD Fillable Form 16.1 in Spanish (Word)(PDF)
  
• Spice and Home Remedy Survey (pdf)
• CDC Reporting spreadsheet for cases consuming WanaBana cinnamon apple puree (Excel)
  

Guidelines and Forms