Table 2.
Council of State and Territorial Epidemiologists Management Recommendations for Adult Blood Lead Levels
| Blood Lead Level (μg/dL) | Management Recommendations |
|---|---|
| <5 | No action needed |
| Monitor BLL if ongoing exposure | |
| 5–9 | Discuss health risks |
| Minimize exposure | |
| Consider removal for pregnancy and certain medical conditions | |
| Monitor BLL | |
| 10–19 | Decrease exposure |
| Remove from exposure for pregnancy | |
| Consider removal for certain medical conditions or BLL > | |
| 10 for an extended period of time | |
| Monitor BLL | |
| 20–29 | Remove from exposure for pregnancy |
| Remove from exposure if repeat BLL in 4 weeks remains > 20 | |
| Annual lead medical exam recommended | |
| 30–49 | Remove from exposure |
| Prompt medical evaluation | |
| 50–79 | Remove from exposure |
| Prompt medical evaluation | |
| Consider chelation with significant symptoms | |
| ≥80 | Remove from exposure |
| Urgent medical evaluation | |
| Chelation may be indicated |