Lead Exposure Risk Assessment Questionnaire
- Preguntas sobre evaluación de riesgos (Spanish version)
In addition to the required screening at ages one and two, assessment of risk for high-dose lead exposure should be done at least annually for each child six months to six years of age. These questions serve as a risk assessment tool based on currently accepted public health guidelines. Children found to be at risk for lead exposure should receive a blood lead test whenever such risk is identified.
| Question | Answer | |
|---|---|---|
| Yes | No | |
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1. Does your child live in or regularly visit a house/building built before 1978 with peeling or chipping paint, or with recent, ongoing or planned renovation or remodeling? Note: This could include a day care center, preschool, and the home of a babysitter or a relative. |
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2. Has your family/child ever lived outside the United States or recently arrived from a foreign country? |
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3. Does your child have a brother, sister, housemate or playmate being followed or treated for lead poisoning? |
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4. Does your child frequently put things in his/her mouth such as toys, jewelry, or keys? Does your child eat non-food items (pica)? Note: This may include toys or jewelry products that have been specifically recalled by the Consumer Products Safety Commission (CPSC) due to identification of unsafe levels of lead. |
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5. Does your child frequently come in contact with an adult whose job or hobby involves exposure to lead? Note: Jobs such as house painting, renovations, construction, welding or pottery making. Hobby examples are making stained glass or pottery, fishing, making firearms and collecting lead figurines. |
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6. Does your child live near an active lead smelter, battery recycling plant, or another industry likely to release lead or does your child live near a heavily traveled major highway where soil and dust may be contaminated with lead? Note: May need to alert parent/caregiver if such an industry is local. Ask any additional questions that may be specific to situations in a particular community. |
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If the answer to any of the above questions is YES, then the child is considered to be at risk of high dose lead exposure and should be screened with a blood lead test.